| NPI | 1396803409 |
|---|---|
| Doing Business As | PALMETTO PEDORTHIC CARE |
| Entity Type | Organization |
| Authorized Contact | RICHARD G GRAHAM Manager 803-269-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-12-29 |