| NPI | 1811934730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH H. MILLS CFO 864-269-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: SC 0311) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 1349) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2009-09-22 |