| NPI | 1942266176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MICHAEL ZGLESZEWSKI President/Physician 843-573-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2011-03-21 |