| NPI | 1568535847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE A GRIFFIN Owner 843-664-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: SC 14678) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-04-20 |