| NPI | 1871853440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PACE STILES LLC Member/Nurse Practitioner 843-349-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 3491) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-10-12 |