| NPI | 1982570479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEOLA R RILEY-AMAKER Family Nurse Practitioner 803-479-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |