| NPI | 1982835104 |
|---|---|
| Doing Business As | POWDERSVILLE MEDICAL PARK |
| Entity Type | Organization |
| Authorized Contact | JAMES LARRY POPE Vice President Of Finance 864-442-7610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-12-21 |