| NPI | 1457685570 |
|---|---|
| Other Name | ADVANCED SURGICAL ASSOCIATES, A DIVISION OF SELF MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MATTHEW T LOGAN President And Chief Executive Offic 864-725-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2021-12-14 |