| NPI | 1952576399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. O. KHAN Owner 803-259-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC 8422) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |