| NPI | 1457057622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBUR GAY CFO 864-605-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-03-08 |