| NPI | 1760786230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W HOLMAN President 864-227-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC F549) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |