Organization
FLOWERTOWN PODIATRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN WILSON-HORNEY DPM (OWNER)
(843) 376-5348
Entity
Organization
Contact information
Practice address
4340 LADSON RD STE C, LADSON, SC 29456-6444
(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
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
595
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073670493
INDIVIDUAL NPI
SC
Enumeration date
08/30/2015
Last updated
03/17/2018
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