Provider First Line Business Practice Location Address:
1110 MARSHALL RD
Provider Second Line Business Practice Location Address:
WELLNESS CENTER-PODIATRY
Provider Business Practice Location Address City Name:
GREENWOOD
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-740-7000
Provider Business Practice Location Address Fax Number:
770-790-4752
Provider Enumeration Date:
06/21/2017