| NPI | 1992732432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONEY GRAHAM Doctor 843-389-7251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 089530) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2012-01-24 |