NPI | 1437278488 |
---|---|
Entity Type | Organization |
Authorized Contact | TRENTON K STATLER Insurance Officer 843-524-0232 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SC 007222542) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2023-08-16 |