| NPI | 1134153083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LEA KIRBY Chief Revenue Officer 803-424-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology |
| 207YS0012X Otolaryngology, Sleep Medicine | |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-05-26 |