| NPI | 1811407521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH DOCTOR-GREENWADE CEO 803-722-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-10-08 |
| Last Update Date | 2024-05-30 |