NPI | 1770589178 |
---|---|
Doing Business As | PREMIER FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | WILBUR R GAY CFO 864-605-3721 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 8157) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2019-07-02 |