| NPI | 1649783374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER COMPTON Practice Manager 803-764-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |