| NPI | 1477056794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY ANNE CLARK Employee/Member 843-861-3671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 3877) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |