| NPI | 1023563459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJEE RAO CEO 864-250-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2024-12-02 |