| NPI | 1639128671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A FAILE Administrator 843-723-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SC 7798) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-10-31 |