| NPI | 1396776670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM PERRY Office Administrator 843-723-3441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-11-18 |