NPI | 1164816211 |
---|---|
Entity Type | Organization |
Authorized Contact | KEYOKA SHEREE SMITH Podiatrist/Owner 803-570-2209 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: SC 622) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2020-08-30 |