| NPI | 1720310055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W NORRIS CEO 803-795-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: SC 13651) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |