| NPI | 1922323740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENERAL THEOPHILUS LITTLE President 843-722-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 8051) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |