NPI | 1811165368 |
---|---|
Entity Type | Organization |
Authorized Contact | MATT WALL Practice Administrator 843-572-5990 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: SC 13512) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2008-02-19 |