| NPI | 1730355298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M. WARD Office Manager 803-454-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: SC 17489) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2012-02-09 |