| NPI | 1881578987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY WHEELER Owner 803-760-3955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-10-13 |