| NPI | 1659110989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE BURNS Director 864-908-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-05-24 |