NPI | 1760509814 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTI RAE WILLIAMS Office Manager 864-297-7091 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 948) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2020-08-22 |