| NPI | 1487213724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY CANNON BELL Executive Director 864-980-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |