| Organization Name: | PEE DEE FOOT CENTER, PA |
| NPI Number: | 1518048404 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN V. COREY (PRESIDENT) |
| Mailing Address: | 402 Nelson Blvd Suite 300 Kingstree |
| State: | SC US |
| Postal Code: | 295564058 |
| Phone Number: | 8433559690 |
| Fax Number: | 8433559777 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 04/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 532 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |