| 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 |