| NPI | 1811284912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GRACE SMITH CHASSE Owner/CEO 843-903-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC F2018) |
| Enumeration Date | 2011-07-09 |
| Last Update Date | 2022-03-22 |