| NPI | 1689048464 |
|---|---|
| Doing Business As | DUE WEST FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARY MARGARET JACKSON Chief Compliance Officer 864-366-3279 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2023-01-06 |