| NPI | 1972718898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES KEITH COX Oral Surgeon 864-591-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: SC 3039) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-13 |