| NPI | 1780366369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI DYBIK Vice President 843-814-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |