| NPI | 1306828587 |
|---|---|
| Doing Business As | HOLLY TREE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | WILBUR R GAY CFO 864-605-3762 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2019-08-22 |