| NPI | 1144696212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARAE HANCOX Practice Administrator 864-271-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 4353) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |