| NPI | 1942575451 |
|---|---|
| Former Legal Business Name | WACCAMAW SURGERY, LLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW J METZ Physician 843-652-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 26036) |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-06-19 |