Individual
KELLY L MANDILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1506 SPRING ST, GREENWOOD, SC 29646-4071
(864) 725-7430
(864) 725-7431
Mailing address
1506 SPRING ST, GREENWOOD, SC 29646-4071
(864) 725-7430
(864) 725-7431
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
745
SC
Other
Enumeration date
03/31/2019
Last updated
08/10/2023
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