| NPI | 1184926750 |
|---|---|
| Doing Business As | DMH PODIATRIST |
| Entity Type | Organization |
| Authorized Contact | TRACY L TURNER Controller 803-898-8503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2019-09-20 |