| NPI | 1467571919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ELI CUNNINGHAM Owner 843-921-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: SC 522) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: SC 522) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-10-24 |