| NPI | 1821020116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D. ANDERSON Cmo 803-434-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-12-11 |