| NPI | 1871556357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LAWRENCE GAILLARD Officer President 864-226-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 22444) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2007-10-31 |