| NPI | 1659458966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY WADE BOATWRIGHT Physician 843-571-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 12402) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-09-25 |