| NPI | 1215323969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F MATTEI President 803-786-0559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 31618) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-20 |