| NPI | 1598474801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BEASLEY Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 207QS0010X Family Medicine Sports Medicine | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |