| NPI | 1376141481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRILLHART Senior VP/CFO 803-791-2967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |