| NPI | 1720002066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY LAMAR WARE President 864-577-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 15277) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |