| NPI | 1821192170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE T HARRINGTON Credentialing Clerk 843-678-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2007-12-06 |