| NPI | 1437648904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT LEE CLUXTON CEO 864-442-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 18996) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 18997) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2021-03-02 |