| NPI | 1629228382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA C. HOLMES Practice Manager 864-576-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 9525) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |