| NPI | 1770911984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE C FELKEL Family Nurse Practitioner 803-646-2268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2015-01-28 |