| NPI | 1831814128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA ELAINE WOLSKY Nurse Practitioner 864-883-8976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-11-21 |