| NPI | 1013670207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBUR GAY CFO 864-561-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207R00000X Internal Medicine | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 208000000X Pediatrics | |
| 251E00000X Home Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 174400000X Specialist | |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-10-15 |