| NPI | 1013057520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A KING Owner 864-654-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: SC 10288) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-08-26 |