| NPI | 1851494330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SMYTHE RICH Owner/Physician 803-799-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 14870) |
| 207Y00000X Otolaryngology (Licence: SC 0527178) | |
| 207Y00000X Otolaryngology (Licence: SC SI Code 78011) | |
| 207Y00000X Otolaryngology (Licence: SC 148708) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2021-09-01 |