| NPI | 1316251101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVEEN REDDY BETHI President 864-901-5876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 21344) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2019-08-07 |