| NPI | 1821424250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ERNEST SOUTHERLAND President 864-234-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SC 1580) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2020-08-11 |