| NPI | 1447509542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIMA ISMAILI Owner 843-571-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2015-03-10 |