| NPI | 1013514330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRILLHART Senior VP/CFO 803-791-2967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |