NPI | 1518079102 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT FAILE Vice President 843-856-7923 |
Organization Subpart ? | Yes |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
207RI0011X Internal Medicine Interventional Cardiology | |
207V00000X Obstetrics & Gynecology | |
207X00000X Orthopaedic Surgery | |
2085R0001X Radiology Radiation Oncology | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2022-01-21 |