NPI | 1821419284 |
---|---|
Doing Business As | FAIRVIEW FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | WILBUR R GAY CFO 864-605-3762 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2014-01-02 |
Last Update Date | 2019-07-02 |