| NPI | 1750251013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA NIELSEN Owner 843-441-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |