| NPI | 1750352332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WARREN Physician 864-560-3860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: SC 22026) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-08-22 |