| NPI | 1093749376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H LAMB Director 803-796-9968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC 261QA1903x) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2013-03-28 |