| NPI | 1598717910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD A IMKO Practitioner 843-871-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: SC 53) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-07-30 |