| NPI | 1396504544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARGARET MCCRAW CEO 803-933-6134 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |