| NPI | 1528945912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RALPH OLIVERIO CEO 843-789-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208VP0000X |
| 363L00000X Nurse Practitioner | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 207V00000X Obstetrics & Gynecology | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 213ES0131X | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 363A00000X Physician Assistant | |
| 2085R0001X | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-12-18 |