| NPI | 1689830622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE FOWLER Credentialing 864-560-4475 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |