| NPI | 1518943364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TY W. CARTER Administrative Doctor 803-644-4264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2085B0100X Radiology Body Imaging | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: SC 59) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2015-06-19 |