| NPI | 1184615791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R HANAHAN President 864-882-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 7874) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 3461) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2008-10-24 |