| NPI | 1215969696 |
|---|---|
| Other Name | DEPT FAMILY & PREVENTIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM D. ANDERSON Cmo 803-434-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-01-23 |