Foothills E.n.t., PA

NPI #1740239318 in Easley, South Carolina

Provider Information

NPI Number: 1740239318
Entity Type: Organization
Organization Name: Foothills E.n.t., PA
Primary Specialty: Specialist
Enumeration Date: May 9, 2006
Last Updated: Dec 21, 2007

Practice Location

Address: 201 RICHARD ST
City: Easley
State: South Carolina
ZIP Code: 29640-1442
Phone: (864) 859-1912

Authorized Official

Name: DR. ROBERT C. WATERS, M.D.
Title: PRESIDENT
Phone: (864) 859-1912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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