| NPI | 1639816077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER HUGHES Owner 864-833-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-08-29 |