| NPI | 1174604201 |
|---|---|
| Doing Business As | PH DIABETES SELF CARE MGT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | POLLY H MILLER SVP Finance/Enterprise Contracting 864-522-2286 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2025-01-14 |