| NPI | 1740163161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI LAWRENCE Director, Provider Enrollment & Cvo 864-522-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-10-08 |