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 | 2023-09-14 |