NPI | 1306979521 |
---|---|
Doing Business As | UPTOWN FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | LISA Y GILMER Practice Administrator 864-396-0117 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2013-02-08 |