| NPI | 1568818177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA L RHONE CEO 864-760-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: SC 19338) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 17933) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-06-06 |