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 |