| NPI | 1679150718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE PETTY Director 864-962-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |