| NPI | 1457543589 |
|---|---|
| Doing Business As | LEXINGTON FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAUL R BEARDEN President 803-359-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: SC 00130) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: SC 00130) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: SC 00130) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2008-04-10 |