| NPI | 1659661544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FAILE Vice President 843-856-7923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2021-09-02 |