| NPI | 1841954369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCELYN K LAND Nurse Practitioner 803-673-2392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2021-10-30 |
| Last Update Date | 2021-10-30 |