| NPI | 1780998633 |
|---|---|
| Doing Business As | PARKRIDGE SURGERY CENTER LLC CRNA |
| Entity Type | Organization |
| Authorized Contact | EMILIE M KEENE Administrator 803-407-4950 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC ASF-078) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |