| NPI | 1902183759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2022-06-07 |