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Individual

DR. COURTNEY DAVIS BORDENKECHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
135 EXPRESS LANE, ORANGEBURG, SC 29118-9501
(803) 536-2100
(803) 536-4399
Mailing address
135 EXPRESS LANE, ORANGEBURG, SC 29118
(803) 536-2100
(803) 536-4399

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
621
SC
213ES0103X
Foot & Ankle Surgery Podiatrist
POD000965
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086562158
GA
05
086562158A
GA
Enumeration date
10/14/2005
Last updated
02/05/2016
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