Individual
DR. CORINNE MARIE WISDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
907 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 357-3762
(843) 357-3772
Mailing address
907 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 357-3762
(843) 357-3772
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC006008
PA
213ES0131X
Foot Surgery Podiatrist
Primary
592
SC
Other
Enumeration date
07/25/2007
Last updated
01/29/2015
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