| NPI | 1710320965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PICKENS Cheif Executive Officer 864-888-0039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |