| NPI | 1730258997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MICHAEL EDWARDS Managing Member 843-345-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 174400000X Specialist |
| 174400000X Specialist (Licence: SC 17275) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2021-09-21 |