| NPI | 1023563459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATY ANDREW HALL Executive Director 864-250-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2024-06-03 |