| NPI | 1568586840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBA REVAN President 803-240-2942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2009-10-22 |