| NPI | 1174678783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALBERT MCDONALD Oral And Maxillofacial Surgeon 843-667-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-11-03 |