| NPI | 1821066200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE MCGUISTON Admin 843-285-6069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC 23410) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-10-26 |