| NPI | 1205546454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDWARD DURRETT Co Owner 803-642-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |