| NPI | 1851356331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LEIBMAN Office Manager 843-449-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 21961) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-10-11 |