| NPI | 1568412476 |
|---|---|
| Doing Business As | POWDERSVILLE MEDICAL PARK |
| Entity Type | Organization |
| Authorized Contact | KENDALL DURHAM Patient Financial Manager 864-855-5104 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2008-04-20 |