| NPI | 1053895268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAIRIYA C BRYANT Credentialing Manager 864-343-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |