Organization
ISLAND PODIATRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL C. BLAU DPM (MANAGING MEMBER)
(843) 379-9913
Entity
Organization
Contact information
Practice address
3 CELADON DR, SUITE A, BEAUFORT, SC 29907-2695
(843) 379-9913
(843) 379-9914
Mailing address
3 CELADON DR, SUITE A, BEAUFORT, SC 29907-2695
(843) 379-9913
(843) 379-9914
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
591
SC
Other
Enumeration date
04/06/2009
Last updated
09/30/2014
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