| NPI | 1821240300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONIGLIARO JONES Physician/President 803-376-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 22363) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2009-02-25 |