| NPI | 1316283062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY LAMAR OWENS Owner 843-737-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 33911) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2020-05-01 |