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 |