| NPI | 1417015421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLAM B JONES President 864-244-8479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 4862) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 4862) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |