| NPI | 1992077424 |
|---|---|
| Doing Business As | BLACK RIVER HEALTHCARE - MANNING MEDICAL |
| Entity Type | Organization |
| Authorized Contact | BARBARA F. BROOKS C.E.O. 803-433-6790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |