| NPI | 1871605162 |
|---|---|
| Doing Business As | RANDY E HIATT |
| Entity Type | Organization |
| Authorized Contact | RANDY EUGENE HIATT Owner/President 843-669-3323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 1033) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-10-03 |