| NPI | 1841387883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA G. TWOMBLY CEO 864-585-8221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2021-01-30 |