| NPI | 1831463850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ALAN SMITH Owner 864-978-9636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: 92776) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |