| NPI | 1396949905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA M HAM Executive Director 864-332-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: SC HPC-118) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-01-24 |