| NPI | 1538497474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MANN NETTER Owner 864-884-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 19398) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |