| NPI | 1790765980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCHELE GARRETT Practice Management 864-560-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-08-22 |