| NPI | 1932381308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA PAPPAS Administrator 843-884-9796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 15938) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2010-07-14 |