| NPI | 1518170182 |
|---|---|
| Doing Business As | POWDERSVILLE MEDICAL PARK |
| Entity Type | Organization |
| Authorized Contact | KENDALL J DURHAM Financial Service Rep Manager 864-855-5104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |