| NPI | 1104997527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN BLITCH Partner 843-553-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SC 134) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2008-11-20 |