NPI | 1891950259 |
---|---|
Doing Business As | DEFINITIVE WELLNESS |
Entity Type | Organization |
Authorized Contact | RONALD G DEGARMO Medical Director 864-631-2824 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC DO340) |
Enumeration Date | 2008-07-25 |
Last Update Date | 2008-07-25 |