| NPI | 1952156994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA K DONALDSON Fnp 803-606-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |