NPI | 1972917680 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS K SCHIMPF Owner 843-471-1135 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: SC MD28924) |
Enumeration Date | 2014-06-20 |
Last Update Date | 2014-12-04 |