| NPI | 1679113526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY SEARSON Business Manager 843-793-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2021-06-03 |