| NPI | 1780329615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RALPH OLIVERIO VP 843-724-2903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine Obesity Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-04 |