| NPI | 1003927690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA E SILVA Owner 864-885-9448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 22162) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-11-01 |