| NPI | 1588926711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLLY A PRICE Administrator 843-669-5162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: SC 15878) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2014-03-13 |