| NPI | 1649735127 |
|---|---|
| Doing Business As | MEDICAL GROUP OF THECAROLINAS - WOUNDHEALINGSERVICES-MARYBLACKCAMPUS |
| Entity Type | Organization |
| Authorized Contact | KENNETH J MEINKE Chief Financial Officer 864-560-6103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2022-12-16 |