| NPI | 1194746123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK G WENIGER Owner/Physician 843-757-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: SC 27893) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-04-20 |