| NPI | 1770762361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MENZER ULLIAN Owner 843-556-0218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC 14332) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |