| NPI | 1982783270 |
|---|---|
| Doing Business As | LASER & SKIN SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | A THOMAS BUNDY Executive Officer 843-689-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2016-05-18 |