| NPI | 1437179983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FLEMING MATTOX Owner 864-286-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: SC 18432) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-10-18 |