| NPI | 1104917400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY F ELKINS Administrator 803-329-7402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 11477) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2013-10-31 |