| NPI | 1801633524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG WILLIAMS Billing Manager 803-244-9212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |