| NPI | 1700357076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK J NEWLANDS Sole Director & President 864-608-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2021-09-17 |