| NPI | 1932532447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL YARBOROUGH Office Manager 843-661-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 7837) |
| 363A00000X Physician Assistant (Licence: SC PA981) | |
| 363L00000X Nurse Practitioner (Licence: SC APRN1124) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APRN17578) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2022-08-02 |