| NPI | 1912899592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDA NICOLE COLEMAN Senior Healthcare Administrator 843-364-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |