| NPI | 1881954139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CRAIG MOSS President 864-542-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC MMD9903MD) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3519) |
| 111N00000X Chiropractor (Licence: SC 2834) | |
| 111N00000X Chiropractor (Licence: SC 3707) | |
| 207Q00000X Family Medicine (Licence: SC MD4473) | |
| 363A00000X Physician Assistant (Licence: SC PA1375) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |