NPI | 1275647885 |
---|---|
Former Legal Business Name | CENTER FOR ADULT MEDICINE, PA |
Entity Type | Organization |
Authorized Contact | JUDY A RICHTER Manager Administrator 864-627-1220 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 17244) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 22970) |
207R00000X Internal Medicine (Licence: SC 21280) | |
Enumeration Date | 2006-08-19 |
Last Update Date | 2009-03-05 |