| NPI | 1811170178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN VIEIRA Practice Manager 864-458-8980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC SC4107) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-11 |