| NPI | 1801641071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY WILSON Clinic Director 864-404-0433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |