| NPI | 1033534300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON PERCIVAL President 803-285-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SC 531) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |