NPI | 1831375856 |
---|---|
Doing Business As | UPSTATE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | MATTHEW G HEDTKE Executive Director 864-885-7989 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2008-01-22 |
Last Update Date | 2008-01-22 |