| NPI | 1992018691 |
|---|---|
| Doing Business As | BLUE GRANITE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L. WILLIAMS Administrator 803-635-0233 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: SC HTL-154) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |