| NPI | 1093990707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD W GIMBEL Director 864-656-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2025-09-22 |