| NPI | 1164496527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL S. MASON C.F.O. 803-395-2224 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2011-09-29 |