| NPI | 1417989229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BRYAN HELLER President 864-940-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2010-09-16 |