| NPI | 1326284340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON P SMITH Partner 864-582-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 2972) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2009-06-11 |