| NPI | 1356310007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC HARLAN PETTIT Business Manager 864-583-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 14290) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-08-22 |