NPI | 1619595048 |
---|---|
Doing Business As | KINETIC PODIATRY |
Former Legal Business Name | NOEL PODIATRY |
Entity Type | Organization |
Authorized Contact | JAMES FITZGERALD NOEL President 843-773-1846 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
Enumeration Date | 2020-07-13 |
Last Update Date | 2020-07-13 |