NPI | 1689557936 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER R DENAPOLES, M.D. Chief Medical Officer 864-303-8650 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2025-07-25 |
Last Update Date | 2025-07-25 |