| NPI | 1508840893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BOSLEY Financial COO Rdinator 843-449-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: SC ASF-061) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2008-06-02 |