| NPI | 1609103530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY DABBS Billing/Collections Manager 803-774-5279 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: SC TL32263) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |