| NPI | 1518366483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOGDAN P GHEORGHIU Owner 864-577-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 19324) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 19016) |
| Enumeration Date | 2014-08-17 |
| Last Update Date | 2015-01-20 |