| NPI | 1326531682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES FISHER Owner / Physician 803-995-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC MD17710) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |