| NPI | 1518048404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN V. COREY President 843-355-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: SC 527) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: SC 532) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-04-22 |