NPI | 1750867297 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE S LONG Authorized Official 803-254-2394 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine |
207LP2900X Anesthesiology, Pain Medicine | |
Enumeration Date | 2018-07-18 |
Last Update Date | 2018-07-18 |