| NPI | 1720356231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHN A RAVENELL Partner 843-856-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SC 603) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |