Organization Name: | MYERS PODIATRY CLINIC |
NPI Number: | 1487722559 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM CHARLES MYERS (OWNER) |
Mailing Address: | 2845 E Highway 76 Medical Park 2, Ste 1 Mullins |
State: | SC US |
Postal Code: | 295746037 |
Phone Number: | 8434312780 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 04/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | SC 531 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |