| NPI | 1083431928 |
|---|---|
| Doing Business As | BLACK BEAR PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | BRIAN CLOW Owner 864-581-7480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-12-05 |