| NPI | 1003197328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLLY PRICE Billing Administrator 843-669-5162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: SC 24751) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2024-03-05 |