| NPI | 1164472098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE E ROEL Owner 864-574-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC 14463) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-11-13 |