| NPI | 1003112731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANSINA UM Owner 803-586-5737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SC 571) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2012-01-09 |