| NPI | 1013996750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION R MCMILLAN Medical Director Owner 864-882-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2022-04-18 |