| NPI | 1154437515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOPE A PRUITT Practice Administrator 864-223-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2015-04-03 |