| NPI | 1164254090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNYE WALKER Owner 843-324-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-10-21 |