NPI | 1740446376 |
---|---|
Doing Business As | TWELVE MILE CREEK FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DARRELL C COVEN Director Business Dev/Finance 803-296-7301 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2008-08-04 |
Last Update Date | 2009-02-11 |