| NPI | 1790109650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BAXTER Owner 843-419-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: SC 969) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |