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 |