| NPI | 1356527352 |
|---|---|
| Doing Business As | BETWEEN THE LAKESPRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW G HEDTKE Executive Director 864-885-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2008-01-21 |