| NPI | 1922045103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY BRADFORD WHITNEY CEO 864-327-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: SC 12758) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2009-12-22 |