| NPI | 1699261917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL MICHAEL GOLDBERGER Vice President 803-227-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology |
| 208VP0000X Pain Medicine Pain Medicine | |
| 225100000X Physical Therapist | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2024-05-17 |