| NPI | 1881829844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC S. STEM Medical Director 843-419-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: SC 24017) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |