| NPI | 1689683666 |
|---|---|
| Former Legal Business Name | CAROLINA FOOT INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | KEVIN L. RAY Director 803-531-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SC 570) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2025-01-15 |