| NPI | 1285897355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANDREW DUPUY Owner 864-399-9563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SD 2957) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |