| NPI | 1003096058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN K WHITE CEO/Owner 843-448-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2015-06-22 |