| NPI | 1912496597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D. ANDERSON III, Chief Medical Officer 803-545-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |