| NPI | 1578784609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A DUC President 843-762-3235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 13634) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 13634) |
| 208VP0000X (Licence: SC 13634) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-03-30 |