| NPI | 1548262587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN JONES Billing Administrator 843-720-8490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2020-08-22 |