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 |