| NPI | 1508927591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L STONE Billing 843-572-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 12973) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-06-02 |