| NPI | 1992961122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN LOUISE INMAN Provider/Owner 843-662-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 22347) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-12-17 |