| NPI | 1629583612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE GORE Ma 864-441-2915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: SC 046356218) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2018-06-16 |