| NPI | 1043108970 |
|---|---|
| Doing Business As | BLYTHEWOOD FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRILLHART Sr VP/CFO 803-791-2967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |