| NPI | 1871822304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL C COVEN Dir. Of Business Dev Finance 803-296-7301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2014-10-07 |