| NPI | 1194853168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C. MACILWAINE Physician 843-769-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: SC 29539) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2013-08-19 |