| NPI | 1184455925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARGARET MCCRAW Directer 803-933-6687 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant Surgical | |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |