| NPI | 1790813566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY JAMES KEEFER Partner 843-390-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X (Licence: SC 539) |
| Additional Taxonomies | 213ES0131X (Licence: SC 546) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-11-13 |