| NPI | 1437256757 |
|---|---|
| Doing Business As | PEE DEE FAMILY PRACTICE - LAKE CITY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SIMS COO Rdinator 843-374-6437 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: SC RHC146) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-05-14 |