| NPI | 1548224041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN GEIER VP Of Operations 843-303-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1057) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-08-22 |