| NPI | 1174588206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SARGENT Chief Administrative Officer 843-628-5816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2019-10-28 |