| NPI | 1467158659 |
|---|---|
| Doing Business As | SPORTS INJURY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT RALPH OLIVERIO VP Cmo 843-266-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2024-03-17 |