| NPI | 1629313119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY E HARRIS Owner 803-648-7897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 125073) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: SC 12507) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2022-07-13 |