| NPI | 1841425832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JOSEPH O'NEILL Owner 843-881-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 008205239) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |