NPI | 1316924632 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA SKIPPER Center Director 843-903-6320 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC ASF077) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC ASF077) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2015-06-18 |