| NPI | 1952630972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R. OLIVERIO VP/CEO Rsfpp 843-724-2903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2024-03-17 |