| NPI | 1376592204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA MCCLEAF Hr 843-571-0673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC ASF084) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2010-09-09 |