| NPI | 1972223725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE ANNE L GRIFFIN Owner 803-318-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |