| NPI | 1982461299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON T. ALEXANDER Speech Language Pathologist 843-621-6349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |