| NPI | 1912065327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT DUNN President 803-796-1521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC sc9312) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |