| NPI | 1649659137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEA SINGLETON Billing/Credentialing 864-764-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: SC 14638) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 2495) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |