NPI | 1447461348 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER LAWRENCE OWENS President 864-298-8026 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 08162) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-22 |