Organization · Type 2 NPI
Coastal Carolina Podiatry Inc
Foot & Ankle Surgery Podiatrist · Summerville, SC
NPI number
1629282744
Active
Practice location
299 Midland Pkwy # B
Summerville, SC 29485-8104
Fax (843) 871-8248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 0556 (SC) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1629282744
Coastal Carolina Podiatry Inc's National Provider Identifier is 1629282744, issued on May 9, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Summerville, SC. The record was last updated on Apr 20, 2008.