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 |