| NPI | 1568767606 |
|---|---|
| Doing Business As | FOOTHILLS ENT |
| Entity Type | Organization |
| Authorized Contact | CHERYL M FAIRLEY Vice President Network Operations 864-605-3755 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2014-04-16 |