| NPI | 1104643790 |
|---|---|
| Doing Business As | DEELBHS |
| Entity Type | Organization |
| Authorized Contact | GERALD ORBIA DEEL Administrator 864-304-5982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 251S00000X | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |