| NPI | 1952051963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ALEXANDRIA WOLFF Provider 803-638-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2023-01-05 |