| NPI | 1932204971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W HICKEY Administrator 864-232-7338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC ASF027) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-02-22 |