| NPI | 1366834640 |
|---|---|
| Doing Business As | BLYTHEWOOD URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | FRANK E DORN Chief Medical Officer 803-606-8935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: TX PA05553) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |