NPI | 1770560526 |
---|---|
Entity Type | Organization |
Authorized Contact | JANICE E RICHARDS Office Manager 803-366-9119 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 77686) |
Enumeration Date | 2005-12-22 |
Last Update Date | 2020-08-22 |