| 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 |