NPI | 1417146952 |
---|---|
Entity Type | Organization |
Authorized Contact | EDGAR BENTON BARNARD President 864-833-2120 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 18133) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2007-10-24 |