| NPI | 1184512485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE RIVERA Billing And Credentialing Manager 864-269-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-07-15 |