NPI | 1174614531 |
---|---|
Doing Business As | GOPC |
Entity Type | Organization |
Authorized Contact | MOHAMMAD AIYUB KHAN Staff Physician 864-299-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QV0200X Clinic/Center VA (Licence: VT 4776) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2008-06-26 |