| NPI | 1861428997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE RUSTIN Office Manager 843-723-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 5233) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-07-24 |