NPI | 1467751495 |
---|---|
Doing Business As | FORESTVIEW PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | TERRY DUANE JOHNSON President / CEO 864-590-6561 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 7353) |
Enumeration Date | 2011-03-16 |
Last Update Date | 2011-06-03 |