| NPI | 1568480432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN E PORTER Doctor 864-295-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC 20-09427) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-10-07 |