| NPI | 1174785703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS EMERSON MARTIN Doctor 843-553-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SC 114) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 114) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2009-06-25 |