Doctor Name: | BRYAN C SATTERWHITE |
NPI Number: | 1346291325 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 432 |
Business Practice Address: | 4428 Main St Shallotte, NC - 284704450 |
Business Phone Number: | 9107553338 |
Business Fax Number: | 9107543335 |
Mailing Address: | 4428 Main St, SHALLOTTE |
State: | NC |
Postal Code: | 284704450 |
Phone Number: | 9107553338 |
Fax Number: | 9107543335 |
NPI Enumeration Date: | 05/13/2006 |
NPI Last Update Date: | 06/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 432 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |