National Provider Identifier Database

TAMIKA M BOLDEN RAVENELL, DPM – NPI #1598924581
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

TAMIKA M BOLDEN RAVENELL, DPM
180 WINGO WAY
SUITE 201
MOUNT PLEASANT, SC29464-1810
Phone: 843-856-5337
Fax:
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for TAMIKA M BOLDEN RAVENELL

NPI Number 1598924581
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/04/2008
Last updated 12/13/2013 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • SC License #: POD.607 POD
  • SC Medicaid: GP9889
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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