| NPI | 1639433956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC E RADABAUGH CEO 843-766-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC SC-11-48) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |