| NPI | 1003321167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH D, BEASLEY Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2022-06-07 |