| NPI | 1073618732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENNA MARIE LYNN Office Manager 864-242-9662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC 17836) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2010-03-23 |