| NPI | 1053380501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS R WHITE Owner 843-676-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 14794) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 14794) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SC 14794) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2023-05-05 |