NPI | 1255756797 |
---|---|
Doing Business As | FOOT CLINIC OF SC, LLC |
Entity Type | Organization |
Authorized Contact | BRADLEY LINDSTROM President 864-281-9171 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
Enumeration Date | 2014-02-20 |
Last Update Date | 2015-11-12 |