| NPI | 1902232168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY WHETSELL CEO 843-412-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| 251B00000X Case Management | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2022-09-08 |