| NPI | 1912388646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIAD MATTAR Md 803-272-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |