| NPI | 1497705982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA H HUCKABY Billing Manager 864-627-4032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-05-16 |