| NPI | 1457728032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN WILSON-HORNEY Owner 843-376-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: SC 595) |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2018-03-17 |