| NPI | 1316072168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRUCE GENTRY President 864-366-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 4002) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-01-29 |