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NPI Profile for COASTAL PODIATRY LLC in MOUNT PLEASANT, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1720356231 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/12/2011 | |
| Last updated | 12/12/2011 - About 14 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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COASTAL PODIATRY, LLC
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COASTAL PODIATRY, LLC