| NPI | 1265973051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARYN RAE Director 843-876-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2020-08-20 |