Sumter Podiatry Services PA

NPI #1861520157 in Sumter, South Carolina

Provider Information

NPI Number: 1861520157
Entity Type: Organization
Organization Name: Sumter Podiatry Services PA
Primary Specialty: Podiatrist
Enumeration Date: Mar 1, 2007
Last Updated: Oct 6, 2011

Practice Location

Address: 2620 HARDEE CV
City: Sumter
State: South Carolina
ZIP Code: 29150-1893
Phone: (803) 469-9255

Authorized Official

Name: DR. EMANUEL WILLIS, DPM
Title: PRESIDENT PODIATRIST
Phone: (803) 469-9255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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