| NPI | 1275503906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN W SHELLEY President/Managing Partner 864-250-6484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2025-09-23 |