| 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 |