| NPI | 1780926675 |
|---|---|
| Doing Business As | BETWEEN THE LAKES |
| Entity Type | Organization |
| Authorized Contact | EARL WOOD Physician 864-888-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 1908) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |