| NPI | 1780034470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JANE BOWERS Sole Proprieter 864-417-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: SC 37584 DO) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |