| NPI | 1689866642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY L MATHIS Physician 864-879-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SC 502) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2012-11-26 |