| NPI | 1699078261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD KEITH ELMORE Owner 864-244-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: SC 2994) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |