| NPI | 1811947518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE BUCHANAN Administrator 864-560-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: SC 6848) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |