NPI | 1770552408 |
---|---|
Doing Business As | ADVANCED HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | GREGORY P LONSCAK Executive Director 843-986-9292 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: SC 11027) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 2493) |
207Y00000X Otolaryngology (Licence: SC 11027) | |
Enumeration Date | 2006-03-15 |
Last Update Date | 2013-01-22 |