NPI | 1639254014 |
---|---|
Entity Type | Organization |
Authorized Contact | ALBERT THOMAS BUNDY President 843-689-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: SC SC14710) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2015-07-08 |