| NPI | 1801956552 |
|---|---|
| Doing Business As | ENT AND FACE |
| Entity Type | Organization |
| Authorized Contact | BRIAN CLAUD WILSON Owner 803-366-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 15101) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2014-02-07 |