| NPI | 1811607955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RICHICHI Director 843-749-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-07-14 |