| NPI | 1679594261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA CAMILLE GRAHAM Practice Owner 843-665-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: SC 16126) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-01-21 |