| NPI | 1528571320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A FAILE Vice President 843-856-7924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 207V00000X Obstetrics & Gynecology | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 207Y00000X Otolaryngology | |
| 208600000X Surgery | |
| 2086S0102X Surgery, Surgical Critical Care | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2021-11-12 |