| NPI | 1285276931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY L PALMER CEO 843-870-8127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |