NPI | 1073903613 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN WELLS SHELLEY Managing Partner 864-458-3982 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 35380) |
Enumeration Date | 2015-02-04 |
Last Update Date | 2022-01-06 |