NPI | 1568555753 |
---|---|
Doing Business As | SPRINGWOOD LAKE FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | STEPHEN F SERBIN CEO/Medical Director 803-779-1420 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2006-10-02 |
Last Update Date | 2013-06-13 |