| NPI | 1770647968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J LEWIS Physician 864-902-8769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 176525) |
| Additional Taxonomies | 176B00000X Midwife (Licence: SC 2845) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |