| NPI | 1841277399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET H FITCH Medical Director 803-649-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 2010198) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-08-22 |