| NPI | 1093764789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA CHRISTMAS Office Manager Director 843-884-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2013-07-16 |