| NPI | 1265850283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DIANNE JETER Clinical Nurse 864-833-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: SC LPN.21894 P) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |