NPI | 1619994233 |
---|---|
Doing Business As | PEE DEE SURGICAL GROUP |
Entity Type | Organization |
Authorized Contact | KENNETH D. BEASLEY Sr VP 843-777-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
363L00000X Nurse Practitioner | |
2086S0129X Surgery, Vascular Surgery | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2022-06-07 |