| NPI | 1578954426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY P KRAICHELY President 843-821-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |