| NPI | 1477802403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX CONNER Service Line Director 843-789-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2017-10-30 |