| NPI | 1821398512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE WINNEY Vice President Of Operations 843-856-7924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |