| NPI | 1215383906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MCINTYRE President 864-230-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: SC IHCP 0492) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |