Individual provider · Type 1 NPI
Emanuel Willis, DPM
Foot Surgery Podiatrist · Sumter, SC
NPI number
1255392064
Active
Practice location
2630A Hardee Cv
Sumter, SC 29150-1893
Fax (803) 469-9253
Mailing address
2620 Hardee Cv
Sumter, SC 29150-1893
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 88 (SC) |
| Foot Surgery Podiatrist Primary | 213ES0131X | 88 (SC) |
Foot Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1255392064
Emanuel Willis, DPM's National Provider Identifier is 1255392064, issued on Mar 31, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Sumter, SC. The record was last updated on Jan 23, 2010.