| NPI | 1922034370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA V COTTINGHAM-DANIELS Co Owner Technology 843-317-1816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: 11178 SC LICENSURE #) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist Sonography (Licence: 18678 ARDMS#) |
| 261QM2500X Clinic/Center Medical Specialty | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2022-07-21 |