| NPI | 1619998523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND MCCULLOCH Controller 864-282-4910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: SC ASF-050) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-06-03 |