| NPI | 1174500904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BROWN Administrator 864-527-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC ASF-0067) |
| Additional Taxonomies | 261Q00000X (Licence: SC ASF067DHEC) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2010-10-07 |