| NPI | 1770586968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN M BATES Practice Administrator 864-527-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 16070) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2016-07-08 |