| NPI | 1902081078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA R GRANT Owner 843-545-5927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 30449) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2010-10-06 |