| 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 | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-06-07 |