| NPI | 1235775396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R DENAPOLES, MD Chief Medical Officer 864-303-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2025-09-19 |