| NPI | 1932169273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GORDON PHILLIPS Dr. John Gordon Phillips 864-454-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: SC 15939) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-12-04 |