| NPI | 1528246311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON S PERCIVAL Owner/Podiatrist 803-285-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |