NPI | 1699091298 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY W ABERCROMBIE Owner 864-938-9690 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 3928) |
Enumeration Date | 2010-04-08 |
Last Update Date | 2010-04-08 |