| NPI | 1790394559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TWILLEY Owner 843-572-7715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |