| NPI | 1770911133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STOCKS Practitioner 864-649-2192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 17724) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |