DR. Tamika M Bolden Ravenell, DPM

NPI #1598924581 in Mount Pleasant, South Carolina

Provider Information

NPI Number: 1598924581
Entity Type: Individual
Name: DR. Tamika M Bolden Ravenell, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jun 4, 2008
Last Updated: Dec 13, 2013

Practice Location

Address: 180 WINGO WAY
Address 2: SUITE 201
City: Mount Pleasant
State: South Carolina
ZIP Code: 29464-1810
Phone: (843) 856-5337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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