| NPI | 1568454056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN D WALCHER Office Manager 864-582-6396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 10436) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SC 1028) |
| 363AS0400X Physician Assistant, Surgical (Licence: SC 1157) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 11210) | |
| 207X00000X Orthopaedic Surgery (Licence: SC 17900) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: SC 16064) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 13517) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 10774) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: SC 26630) | |
| 363AS0400X Physician Assistant, Surgical (Licence: SC A153) | |
| 363AS0400X Physician Assistant, Surgical (Licence: SC A843) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: SC 860) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2017-01-16 |