| NPI | 1447235106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN K SOOTER Credentialing Coordinator 803-256-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 207T00000X Neurological Surgery | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-03-08 |