| NPI | 1588316046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES SANTIAGO Practice Administrator 843-548-7801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-12-17 |