| NPI | 1922111715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PIHLBLAD MCWILLIAMS CFO 843-569-3367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2024-06-27 |