| NPI | 1437106788 |
|---|---|
| Former Legal Business Name | CCRS |
| Entity Type | Organization |
| Authorized Contact | RUTH M CORNELL Insurance Manager 803-779-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-11-29 |