| NPI | 1790436418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY FLOOD Owner/Supervisor 803-937-5184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-04-19 |