| NPI | 1992574693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BEASLEY Senior Vice President 843-777-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2023-12-22 |