| NPI | 1962120071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON BUFFALOE President 864-360-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2024-09-24 |