| NPI | 1043471394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J KROLL President 803-732-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: SC 7485) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: SC 7485) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |