| NPI | 1851944532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY C MORRIS CEO 843-757-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |