NPI | 1447501754 |
---|---|
Doing Business As | WILLIAMSBURG SURGICAL GROUP |
Entity Type | Organization |
Authorized Contact | KATIE DORRELL Practice Manager 843-355-1772 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 13042) |
Enumeration Date | 2012-09-26 |
Last Update Date | 2021-05-19 |