| NPI | 1376574855 |
|---|---|
| Doing Business As | EDISTO SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY H. FAABERG Office Manager 843-563-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: SC 15434) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-06-25 |