NPI | 1487630554 |
---|---|
Doing Business As | EMMANUEL FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | JORGE O GARCIA Provider 803-276-7978 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2005-12-20 |
Last Update Date | 2013-03-18 |