| NPI | 1407502313 |
|---|---|
| Doing Business As | PH PRIMARY CARE LIBERTY HIGHWAY |
| Entity Type | Organization |
| Authorized Contact | POLLY H. MILLER SVP Finance, Enterprise Contracting 864-522-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-01 |