| NPI | 1245720747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D. ANDERSON III, Chief Medical Officer 803-545-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |