| NPI | 1871107128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTABELLA CHERUBINO Medical Director 864-271-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2022-09-28 |