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Individual

DR. KATHRYN DIANA WILSON-HORNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
4340 LADSON RD, SUITE C, SUMMERVILLE, SC 29485
(843) 851-9069
Mailing address
498 DOLPHIN DR, SUMMERVILLE, SC 29485-4181
(843) 376-5348
(843) 353-2605

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
595
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AA36930281
MEDICARE PTAN
SC
Enumeration date
01/03/2007
Last updated
10/25/2016
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