| NPI | 1841304870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON C. ROSENBERG Owner 843-669-5162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: SC 24751) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |