| NPI | 1790989416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE SMITH CONTE Practice Administrator 843-853-3474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-01-09 |