| NPI | 1174593438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT R. MEISNER Manager/Managing Member 803-765-1838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2008-04-28 |