| NPI | 1932132065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY EDWIN HARRIS Chair Of Board/Medical Director 803-648-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: SC ASF096) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2015-11-02 |