| NPI | 1386698165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID PETERS President 843-390-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: SC 28577) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |