| NPI | 1396543104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM OWENS Owner 803-321-6254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |