Individual
MS. ETHEL B DANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEDORTHIST,BOCPD
Contact information
Practice address
41 BLAIR CIR, 41 BLAR CIRCLE, ESTILL, SC 29918-3212
(803) 625-4100
(803) 625-4100
Mailing address
41 BLAIR CIR, P.O.BOX 631, ESTILL, SC 29918-3212
(803) 625-4100
(803) 625-4100
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
Primary
C46785
MD
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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