| NPI | 1114099553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE AGOSTO Business Manager 803-744-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 0689474) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 0689474) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-04-20 |