| NPI | 1134277882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY M VARN Owner 864-587-9872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: SC 16260) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-02-21 |