| NPI | 1932132073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMER FRANKLIN GAMBLE Partner 843-413-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy (Licence: SC 07141) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |