| NPI | 1932120714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART ELLIOTT SHERMAN Executive Director 843-357-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SC 3090) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-04-20 |