| NPI | 1306897665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI C SEXTON Office Manager 803-748-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: SC 13351) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-12-13 |