| NPI | 1518929629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A EISENBERG Owner 803-642-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 17067) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2012-03-07 |