| NPI | 1790138014 |
|---|---|
| Doing Business As | PORT ROYAL MEDICAL CENTER II |
| Entity Type | Organization |
| Authorized Contact | ROLAND J GARDNER Chief Executive Officer 843-987-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208D00000X General Practice |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2022-05-13 |