| NPI | 1396741542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY D. GIBSON Nurse Administrator 864-226-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC ASF-021) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2008-05-09 |