| NPI | 1942877287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE STONE-SMITH COO 803-924-3839 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-07 |