| NPI | 1871044859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE SHEFFIELD-WILKES Owner/CEO 843-968-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LX0106X Nurse Practitioner, Occupational Health | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |