| NPI | 1497963177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHARLES MYERS Owner 843-347-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: SC S531) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC SC 531) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-04-28 |