NPI | 1487067070 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD S SCHAFFER Medical Director 803-547-4343 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2009-01463) |
Enumeration Date | 2014-06-11 |
Last Update Date | 2014-06-11 |