| NPI | 1902284631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S SCHAFFER Medical Director 803-547-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC MD26568) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-08-20 |