| NPI | 1104026541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA NORRIS Office Manager 864-295-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: SC 9152) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2022-07-21 |