| NPI | 1497996672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH RAYNOR ELLINGTON President 864-576-2073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2013-09-05 |