| NPI | 1952774838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHADWICK L WHITE President 843-629-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |