NPI | 1831172279 |
---|---|
Entity Type | Organization |
Authorized Contact | NAVEEN REDDY BETHI Doctor 864-236-9555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 21344) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2008-01-29 |