| NPI | 1558333773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WILSON Anesthesiologist 803-765-1838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2015-05-18 |