| NPI | 1346862018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WINK Owner 864-607-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |