| NPI | 1144524190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES NELSON ANTEZANA General And Vascular Surgeon 803-412-5126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2009-00158) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2023-05-30 |