| NPI | 1770510695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LEE KINNEY Managing Partner 843-571-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: SC 19466) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-10-04 |