| NPI | 1881655801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE W HASSLER President 843-383-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 16595) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-09-14 |