| NPI | 1073505038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BRILL Managing Owner 803-865-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC ASF 046) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2015-02-12 |