| NPI | 1528143922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SUZETTE STONE Administrator 803-749-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-01-13 |