| NPI | 1437130861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M TIMMONS President 803-475-3475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2025-09-11 |