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 |