| NPI | 1952196826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ELLIS Partial Owner 843-501-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 175F00000X Naturopath |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-04-11 |