| NPI | 1255464376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED R VAUGHN Surgeon 864-223-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: SC 12007) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-11-13 |