| NPI | 1588627780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN A EVEC Administrator 843-322-5854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC ASF-048) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2014-05-19 |