| NPI | 1376175000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER COMPTON Practice Manager 803-764-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2021-05-11 |