| NPI | 1811076623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX REYNOLDS Board Member 864-585-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC ASF-026) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-08-28 |