| NPI | 1912295528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIL-YOUNG ESTHER CHAE President 864-561-3213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 1125) |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2011-07-17 |