| NPI | 1487722559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHARLES MYERS Owner 843-431-2780 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SC SC 531) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC SC 531) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2008-04-21 |