| NPI | 1720266810 |
|---|---|
| Former Legal Business Name | MOYD AND BANNISTER SURGICAL PARTNERSHIP |
| Entity Type | Organization |
| Authorized Contact | PICKENS KINARD MOYD Owner 843-332-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-07-31 |