NPI | 1659540771 |
---|---|
Doing Business As | CAROLINA PODIATRIC MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DANIEL AB METHUSELAH Owner/ Physician 803-781-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SC 517) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 517) |
Enumeration Date | 2008-02-22 |
Last Update Date | 2019-08-12 |