| 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 |