| NPI | 1861757213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A. MCCOLLUM President 864-855-1633 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |