| NPI | 1891722666 |
|---|---|
| Doing Business As | POWDERSVILLE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | WILBUR R GAY CFO 864-605-3762 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2019-07-02 |