Conway Podiatry Center Pc

NPI 1093794166 - Podiatrist - 213E00000X

NPI Details
NPI 1093794166
Enumeration Date 01/17/2006
Last Updated 08/20/2010
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name WILLIAM L WILLIAM
Position OWNER
Phone (843) 236-7170
Fax
Practice Location
8020 MYRTLE TRACE DR
CONWAY SC, 29526-8945, US
Phone (843) 236-7170
Fax
Business Location
8020 MYRTLE TRACE DR
CONWAY SC, 29526-8945, US
Phone (843) 236-7170
Fax
Toxanomy
Taxonomy Code 213E00000X
License State South Carolina
License Number 568
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According to our database, Conway Podiatry Center Pc NPI is 1093794166, taxonomy code is 213E00000X and license number is 568, license state is located at South Carolina. Conway Podiatry Center Pc physically located at 8020 Myrtle Trace Dr, Conway SC, 29526-8945. NPI Number 1033115704 has the healthcare provider type.

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1093794166 NPI number is provided on an as is basis without warranty of any kind. 1093794166 is maintained by the National Plan & Provider Enumeration System. The contents of Conway Podiatry Center Pc are for informational purposes only.