| NPI | 1427238724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM VICTOR TOMLINSON Physician/Owner 864-512-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 11136) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |