TESTING

NPI # 

Practice Address:

4100 N Main St Ste 104

Columbia, SC, 29203-5800

Practice Phone:

843-229-5626

Practice Fax:

803-814-2520

License Number:

119254555

License State:

SC

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X