Individual
JOSEPH J MENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8141 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 449-8079
(843) 497-6147
Mailing address
8141 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 449-8079
(843) 497-6147
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
120
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9984
—
SC
Enumeration date
11/13/2006
Last updated
11/01/2007
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