| NPI | 1790103232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT Y. BEESBURG Owner 803-312-2591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 16948) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 16948) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |