| NPI | 1750853594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER COMPTON Practice Manager 803-764-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |