| NPI | 1730840604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHON M HERRON Financial Director 864-898-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| 208600000X Surgery | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |