| 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 |