NPI | 1104241223 |
---|---|
Doing Business As | PIEDMONT PODIATRY ASSOC. |
Entity Type | Organization |
Authorized Contact | BRANDON PERCIVAL President 803-285-1411 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2014-02-26 |
Last Update Date | 2014-06-24 |