NPI | 1689601189 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA CROSBY Office Manager 843-722-1985 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
Enumeration Date | 2006-06-28 |
Last Update Date | 2020-08-22 |