| NPI | 1700965217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE NETTLES Director/Division Manager Community 803-435-5270 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center Rural Health |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2011-06-30 |