| NPI | 1003350281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE W CLAY Executive Director 864-656-3564 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SC 1376503425) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: SC 1720066053) |
| 261Q00000X Clinic/Center (Licence: SC 1457329021) | |
| 261Q00000X Clinic/Center (Licence: SC 1225142961) | |
| 261Q00000X Clinic/Center (Licence: SC 1386871655) | |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2019-10-02 |