| NPI | 1205026184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY HUGHES Insurance Coordinator 843-546-8421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-08-23 |