| NPI | 1750851085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE VAN BRIDGES COO 864-934-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2019-03-28 |