| NPI | 1265162788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD YOUNG Md, Managing Member 843-222-4778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2024-01-25 |