| NPI | 1548371222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY KEYLON Office Manager 864-885-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-11-18 |