| NPI | 1770700759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDREW CLIFFORD Partner 843-573-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-08-02 |