NPI | 1679589089 |
---|---|
Doing Business As | PREMIER CLINICS |
Entity Type | Organization |
Authorized Contact | BAMIDELE A EKUNSANMI President/Medical Director 803-628-4090 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SC 2019921) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2008-11-04 |