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Samai Supan
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NPI Number Detailed Information
Provider Information:
| Name: | Samai Supan |
| Gender: | M |
| Provider License Number If Given: | 11283 |
NPI Information:
| NPI: | 1861451569 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 3/21/2006 |
| Last Update Date: | 3/10/2020 |
| Reputation Report: |
Provider Business Mailing Address:
| Address: | 154 SPANISH POINT DR Beaufort, SC 29902 |
| Phone Number: | 8435256569 |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 719 OKATIE HWY # 170 Okatie, SC 29909 |
| Phone Number: | 8439877400 |
| Fax Number: | 8439875135 |
Provider Taxonomy:
| Primary: | 207QA0505X |
| Secondary (if any): | |
| State: | SC |
Top Doctors in SC
About Samai Supan
Samai Supan ( SAMAI SUPAN ) is Definition Family Medicine Physician in Okatie, SC.
The NPI Number for Samai Supan is 1861451569.
The current location address for Samai Supan is 719 OKATIE HWY # 170 Okatie, SC 29909 and the contact number is 8435256569 and fax number is .
The mailing address for Samai Supan is 154 SPANISH POINT DR Beaufort, SC 29902- 8439877400 (mailing address contact number - 8435256569).
Definition to come.
Provider Business Location on Map
FAQs:
What is the NPI Number for Samai Supan ?
Answer: The NPI Number for Samai Supan is 1861451569
Where is Samai Supan located?
Answer: Samai Supan is located at 719 OKATIE HWY # 170 Okatie, SC 29909.
What is the specialty for Samai Supan ?
Answer: The Specialty of Samai Supan is Definition Family Medicine Physician.
Are there any online reviews for Samai Supan ?
Answer: Yes! Check It Now.
Are there any other health care providers in Okatie, SC?
Answer: Yes, there are given below...
Medicare Part D Prescribers
Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.
| Provider Specialty Type | Family Practice |
| Source of Provider Specialty | |
| Number of Medicare Part D Claims, Including Refills | 985 |
| Number of Standardized 30-Day Fills | 1068.0666667 |
| Aggregate Cost Paid for All Claims | 102798.01 |
| Number of Day's Supply for All Claims | 27645 |
| Number of Medicare Beneficiaries | 64 |
| Number of Claims, Including Refills, for Beneficiaries Age 65+ | 892 |
| Including Refills, for Beneficiaries Age 65+ | 949 |
| Beneficiaries Age 65+ | 96330.39 |
| Number of Day's Supply for All Claims for Beneficaries Age 65+ | 24273 |
| Number of Medicare Beneficiaries Age 65+ | 52 |
| Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst | # |
| Total Claims of Brand-Name Drugs | |
| Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst | |
| Total Claims of Generic Drugs, Including Refills | 831 |
| Aggregate Cost Paid for Generic Drugs | 25414.75 |
| Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst | * |
| Total Claims of Other Drugs, Including Refills | |
| Aggregate Cost Paid for Other Drugs | |
| Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst | |
| Number of Claims for Beneficiaries Covered by MAPD Plans | 61 |
| Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans | 4661.07 |
| Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst | |
| Number of Claims for Beneficiaries Covered by Standalone PDP Plans | 924 |
| Aggregate Cost Paid for Claims Filled by | 98136.94 |
| Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst | |
| Number of Claims for Beneficiaries Covered by Low-Income Subsidy | 965 |
| Aggregate Cost Paid for Claims Covered by Low-Income Subsidy | 99612.94 |
| Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst | |
| Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy | 20 |
| by Low-Income Subsidy | 3185.07 |
| Total Claims of Opioid Drugs, Including | 0 |
| Aggregate Cost Paid for Opioid Drugs | 0 |
| Opioid Claims | 0 |
| Opioid_Tot_Clms divided by the Tot_Clms | 0 |
| Total Claims of Long-Acting Opioid Drugs | 0 |
| Aggregate Cost Paid for Long-Acting Opioid | 0 |
| Number of Day's Supply of All Long-Acting | 0 |
| Long-Acting Opioid Claims | 0 |
| Opioid_LA_Tot_Clms divided by the | |
| Total Claims of Antibiotic Drugs, Including | 15 |
| Aggregate Cost Paid for Antibiotic Drugs | 77.33 |
| Antibiotic Claims | |
| Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst | |
| Including Refills, for Beneficiaries Age 65+ | 0 |
| Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ | 0 |
| Reason for Suppression of Antpsyct_GE65_Tot_Benes | |
| Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims | 0 |
| Average Age of Beneficiaries | 75.78125 |
| Number of Beneficiaries Age Less Than 65 | 12 |
| Number of Beneficiaries Age 65 to 74 | 19 |
| Number of Beneficiaries Age 75 to 84 | 13 |
| Number of Female Beneficiaries | 41 |
| Number of Male Beneficiaries | 23 |
| Number of Non-Hispanic White | 23 |
| Number of Black or African American | 38 |
| Number of Asian Pacific Islander | 0 |
| Number of Hispanic Beneficiaries | |
| Number of American Indian/Alaskan NativeBeneficiaries | 0 |
| Number of Beneficiaries with Race Not | |
| Only Entitlement | 12 |
| Average Hierarchical Condition Category | 1.7837639234 |
More Providers in okatie , sc
Dr. Mikhail Novikov
Internal Medicine Physician
NPI Number: 1902855133
Address: 16 OKATIE CTR BLVD STE 100 Okatie, SC 29909 , Phone: 8437069955
Internal Medicine Physician
NPI Number: 1902855133
Address: 16 OKATIE CTR BLVD STE 100 Okatie, SC 29909 , Phone: 8437069955
Mrs. Natalie D Miller
Physician Assistant
NPI Number: 1942256367
Address: 122 OKATIE CENTER BLVD N STE 100 Okatie, SC 29909 , Phone: 8437068840
Physician Assistant
NPI Number: 1942256367
Address: 122 OKATIE CENTER BLVD N STE 100 Okatie, SC 29909 , Phone: 8437068840
Pruitthealth Hospice, Inc.
Community Based Hospice Care Agency
NPI Number: 1285672295
Address: 40 OKATIE CENTER BLVD S STE 230 Okatie, SC 29909 , Phone: 8435220476
Community Based Hospice Care Agency
NPI Number: 1285672295
Address: 40 OKATIE CENTER BLVD S STE 230 Okatie, SC 29909 , Phone: 8435220476
Michael S. Porrazzo
Radiation Oncology Physician
NPI Number: 1871536557
Address: 122 OKATIE CENTER BLVD N STE 130 Okatie, SC 29909 , Phone: 8432737980
Radiation Oncology Physician
NPI Number: 1871536557
Address: 122 OKATIE CENTER BLVD N STE 130 Okatie, SC 29909 , Phone: 8432737980
Erik Baker
Internal Medicine Physician
NPI Number: 1225071673
Address: 14 OKATIE CENTER BLVD S STE 101 Okatie, SC 29909 , Phone: 8438363800
Internal Medicine Physician
NPI Number: 1225071673
Address: 14 OKATIE CENTER BLVD S STE 101 Okatie, SC 29909 , Phone: 8438363800
Mr. Stephen Wilson Crapps
Physical Therapist
NPI Number: 1710921010
Address: 4 OKATIE CENTER BLVD. S SUITE 101 Okatie, SC 29909 , Phone: 8437059480
Physical Therapist
NPI Number: 1710921010
Address: 4 OKATIE CENTER BLVD. S SUITE 101 Okatie, SC 29909 , Phone: 8437059480
South Carolina Health Services, Inc.
Ambulatory Surgical Clinic/Center
NPI Number: 1053347104
Address: 40 OKATIE CENTER BLVD Okatie, SC 29909 , Phone: 8437058826
Ambulatory Surgical Clinic/Center
NPI Number: 1053347104
Address: 40 OKATIE CENTER BLVD Okatie, SC 29909 , Phone: 8437058826
Denise Williams
Emergency Medicine Physician
NPI Number: 1336177377
Address: 40 OKATIE CENTER BLVD S Okatie, SC 29909 , Phone: 8437058888
Emergency Medicine Physician
NPI Number: 1336177377
Address: 40 OKATIE CENTER BLVD S Okatie, SC 29909 , Phone: 8437058888
Mr. Scott Anthony Kathmann
Physical Therapist
NPI Number: 1568491108
Address: 4 OKATIE CENTER BLVD. S. STE. 101 Okatie, SC 29909 , Phone: 8437059480
Physical Therapist
NPI Number: 1568491108
Address: 4 OKATIE CENTER BLVD. S. STE. 101 Okatie, SC 29909 , Phone: 8437059480
Dr. John C. Eliassen
Dentist
NPI Number: 1750311684
Address: 719 OKATIE HWY # 170 Okatie, SC 29909 , Phone: 8439877400
Dentist
NPI Number: 1750311684
Address: 719 OKATIE HWY # 170 Okatie, SC 29909 , Phone: 8439877400
Luann Aquino
Internal Medicine Physician
NPI Number: 1659399566
Address: 14 OKATIE CENTER BLVD S SUITE 101 Okatie, SC 29909 , Phone: 8438363800
Internal Medicine Physician
NPI Number: 1659399566
Address: 14 OKATIE CENTER BLVD S SUITE 101 Okatie, SC 29909 , Phone: 8438363800
Chanda Trishaune Elzie Medlock
General Practice Dentistry
NPI Number: 1073531968
Address: 719 OKATIE HWY # 170 Okatie, SC 29909 , Phone: 8439877400
General Practice Dentistry
NPI Number: 1073531968
Address: 719 OKATIE HWY # 170 Okatie, SC 29909 , Phone: 8439877400
John N. Burling
Emergency Medicine Physician
NPI Number: 1649292079
Address: 14 OKATIE CENTER BLVD. SOUTH SUITE 101 Okatie, SC 29909 , Phone: 8033586100
Emergency Medicine Physician
NPI Number: 1649292079
Address: 14 OKATIE CENTER BLVD. SOUTH SUITE 101 Okatie, SC 29909 , Phone: 8033586100
Dr. Tresa Almy-Albert
Pediatrics Physician
NPI Number: 1114933942
Address: 4 OKATIE BLVD. S STE 201 Okatie, SC 29909 , Phone: 8437063206
Pediatrics Physician
NPI Number: 1114933942
Address: 4 OKATIE BLVD. S STE 201 Okatie, SC 29909 , Phone: 8437063206
South Carolina Health Service
Family Medicine Physician
NPI Number: 1861509457
Address: 40 OKATIE BLVD. SOUTH SUITE 100 Okatie, SC 29909 , Phone: 8437058888
Family Medicine Physician
NPI Number: 1861509457
Address: 40 OKATIE BLVD. SOUTH SUITE 100 Okatie, SC 29909 , Phone: 8437058888
Dr. Bari J Miller
Optometrist
NPI Number: 1346357423
Address: 4000 SPRING IS Okatie, SC 29909 , Phone: 6317073270
Optometrist
NPI Number: 1346357423
Address: 4000 SPRING IS Okatie, SC 29909 , Phone: 6317073270
Jennifer Parrish
Physical Therapist
NPI Number: 1467562124
Address: 103 OKATIE CENTER BLVD N STE 105 Okatie, SC 29909 , Phone: 8437054600
Physical Therapist
NPI Number: 1467562124
Address: 103 OKATIE CENTER BLVD N STE 105 Okatie, SC 29909 , Phone: 8437054600
Patricia P Westmoreland
Dermatology Physician
NPI Number: 1477649820
Address: 40 OKATIE CENTER BLVD S SUITE 210 Okatie, SC 29909 , Phone: 8437050890
Dermatology Physician
NPI Number: 1477649820
Address: 40 OKATIE CENTER BLVD S SUITE 210 Okatie, SC 29909 , Phone: 8437050890
Brendan E Smith
Specialist
NPI Number: 1588744957
Address: 16 OKATIE CENTER BOULEVARD SOUTH SUITE 101 Okatie, SC 29909 , Phone: 8437058940
Specialist
NPI Number: 1588744957
Address: 16 OKATIE CENTER BOULEVARD SOUTH SUITE 101 Okatie, SC 29909 , Phone: 8437058940
Ms. Alyssa C Mcclelland
Family Nurse Practitioner
NPI Number: 1912088634
Address: 40 OKATIE CENTER BLVD S SUITE 350 Okatie, SC 29909 , Phone: 8437053800
Family Nurse Practitioner
NPI Number: 1912088634
Address: 40 OKATIE CENTER BLVD S SUITE 350 Okatie, SC 29909 , Phone: 8437053800
Dr. Karl Craig Boatright
Orthopaedic Surgery Physician
NPI Number: 1346325149
Address: 40 OKATIE CENTER BLVD S. SUITE 205 BLUFFTON-OKATIE OUTPATIENT CENTER Okatie, SC 29909 , Phone: 8437058970
Orthopaedic Surgery Physician
NPI Number: 1346325149
Address: 40 OKATIE CENTER BLVD S. SUITE 205 BLUFFTON-OKATIE OUTPATIENT CENTER Okatie, SC 29909 , Phone: 8437058970
Dr. George J Amonitti
Obstetrics & Gynecology Physician
NPI Number: 1811066038
Address: 721 OKATIE HIGHWAY Okatie, SC 29909 , Phone: 8439877400
Obstetrics & Gynecology Physician
NPI Number: 1811066038
Address: 721 OKATIE HIGHWAY Okatie, SC 29909 , Phone: 8439877400
Mrs. Lynette B Robinson
Clinical Social Worker
NPI Number: 1265508279
Address: 2 RIVER CLUB CT Okatie, SC 29909 , Phone: 8439872300
Clinical Social Worker
NPI Number: 1265508279
Address: 2 RIVER CLUB CT Okatie, SC 29909 , Phone: 8439872300
Mppg, Inc.
Surgery Physician
NPI Number: 1275600439
Address: 14 OKATIE CENTER BLVD. SOUTH SUITE 101 Okatie, SC 29909 , Phone: 9123502700
Surgery Physician
NPI Number: 1275600439
Address: 14 OKATIE CENTER BLVD. SOUTH SUITE 101 Okatie, SC 29909 , Phone: 9123502700
Mppg, Inc.
Surgical Critical Care Physician
NPI Number: 1760541080
Address: 14 OKATIE CENTER BLVD S SUITE 101 Okatie, SC 29909 , Phone: 9123507412
Surgical Critical Care Physician
NPI Number: 1760541080
Address: 14 OKATIE CENTER BLVD S SUITE 101 Okatie, SC 29909 , Phone: 9123507412
Mppg, Inc.
Family Medicine Physician
NPI Number: 1619037009
Address: 14 OKATIE CENTER BLVD. SOUTH SUITE 101 Okatie, SC 29909 , Phone: 8438363800
Family Medicine Physician
NPI Number: 1619037009
Address: 14 OKATIE CENTER BLVD. SOUTH SUITE 101 Okatie, SC 29909 , Phone: 8438363800
Dr. Byron A Davis
Prosthodontist
NPI Number: 1669533725
Address: 4 OKATIE CENTER BLVD S STE 103 Okatie, SC 29909 , Phone: 8437059551
Prosthodontist
NPI Number: 1669533725
Address: 4 OKATIE CENTER BLVD S STE 103 Okatie, SC 29909 , Phone: 8437059551
Mrs. Valerie Linette Muehleman
Registered Dietitian
NPI Number: 1184772808
Address: 719 OKATIE HWY # HWY170 Okatie, SC 29909 , Phone: 8439877415
Registered Dietitian
NPI Number: 1184772808
Address: 719 OKATIE HWY # HWY170 Okatie, SC 29909 , Phone: 8439877415
South Carolina Health Services
Ambulatory Surgical Clinic/Center
NPI Number: 1992851075
Address: 40 OKATIE CENTER BLVD SUITE 125 Okatie, SC 29909 , Phone: 8437058804
Ambulatory Surgical Clinic/Center
NPI Number: 1992851075
Address: 40 OKATIE CENTER BLVD SUITE 125 Okatie, SC 29909 , Phone: 8437058804
Beaufort-Jasper-Hampton Comprehensive Health Service Inc
Pharmacy
NPI Number: 1578607248
Address: 719 OKATIE HWY # 170 Okatie, SC 29909 , Phone: 8433221873
Pharmacy
NPI Number: 1578607248
Address: 719 OKATIE HWY # 170 Okatie, SC 29909 , Phone: 8433221873
Dr. Daniel P Hughes
Dentist
NPI Number: 1952434474
Address: 10 WILLIAM POPE DR. SUITE 2 Okatie, SC 29909 , Phone: 8437057066
Dentist
NPI Number: 1952434474
Address: 10 WILLIAM POPE DR. SUITE 2 Okatie, SC 29909 , Phone: 8437057066
Dr. John Wesley Vargo
Periodontist
NPI Number: 1841402971
Address: 4 OKATIE CENTER BLVD S STE 103 Okatie, SC 29909 , Phone: 8437059551
Periodontist
NPI Number: 1841402971
Address: 4 OKATIE CENTER BLVD S STE 103 Okatie, SC 29909 , Phone: 8437059551
Joanne Price Williamson
Obstetrics & Gynecology Physician
NPI Number: 1407058944
Address: 14 OKATIE CENTER BLVD S STE 101 Okatie, SC 29909 , Phone: 8438363800
Obstetrics & Gynecology Physician
NPI Number: 1407058944
Address: 14 OKATIE CENTER BLVD S STE 101 Okatie, SC 29909 , Phone: 8438363800
Eric Stephen Peltz
Pediatrics Physician
NPI Number: 1407051550
Address: 4 OKATIE CENTER BLVD. S. SUITE 201 Okatie, SC 29909 , Phone: 8437063206
Pediatrics Physician
NPI Number: 1407051550
Address: 4 OKATIE CENTER BLVD. S. SUITE 201 Okatie, SC 29909 , Phone: 8437063206
Stephen Tiley
Hematology & Oncology Physician
NPI Number: 1245425966
Address: 122 OKATIE CENTER BLVD N STE 110 Okatie, SC 29909 , Phone: 8435227350
Hematology & Oncology Physician
NPI Number: 1245425966
Address: 122 OKATIE CENTER BLVD N STE 110 Okatie, SC 29909 , Phone: 8435227350
Dr. Christopher Heath Wine
Prosthodontist
NPI Number: 1841487352
Address: 4 OKATIE CENTER BLVD S SUITE 103 Okatie, SC 29909 , Phone: 8437059551
Prosthodontist
NPI Number: 1841487352
Address: 4 OKATIE CENTER BLVD S SUITE 103 Okatie, SC 29909 , Phone: 8437059551
Low Country Plastic Surgery
Specialist
NPI Number: 1275717407
Address: 40 OKATIE CENTER BLVD STE 350 Okatie, SC 29909 , Phone: 8437058940
Specialist
NPI Number: 1275717407
Address: 40 OKATIE CENTER BLVD STE 350 Okatie, SC 29909 , Phone: 8437058940
Dr. Paul Anthony Saconn
Radiation Oncology Physician
NPI Number: 1255518734
Address: 122 OKATIE CENTER BLVD N Okatie, SC 29909 , Phone: 8432737980
Radiation Oncology Physician
NPI Number: 1255518734
Address: 122 OKATIE CENTER BLVD N Okatie, SC 29909 , Phone: 8432737980
Dr. Barry E Wright
Ophthalmology Physician
NPI Number: 1235317439
Address: 22 TABBY POINT LN CALLAWASSIE ISLAND Okatie, SC 29909 , Phone: 8433383248
Ophthalmology Physician
NPI Number: 1235317439
Address: 22 TABBY POINT LN CALLAWASSIE ISLAND Okatie, SC 29909 , Phone: 8433383248
Davis And Wine Dental Associates, Llc
General Practice Dentistry
NPI Number: 1417127028
Address: 4 OKATIE CENTER BLVD SOUTH SUITE 103 Okatie, SC 29909 , Phone: 8437059551
General Practice Dentistry
NPI Number: 1417127028
Address: 4 OKATIE CENTER BLVD SOUTH SUITE 103 Okatie, SC 29909 , Phone: 8437059551
Mrs. Elizabeth Grace Batten
Physical Therapist
NPI Number: 1427229855
Address: 4 OKATIE CENTER BLVD. S SUITE 101 Okatie, SC 29909 , Phone: 8437059480
Physical Therapist
NPI Number: 1427229855
Address: 4 OKATIE CENTER BLVD. S SUITE 101 Okatie, SC 29909 , Phone: 8437059480
Savannah Cardiology, Pc
Cardiovascular Disease Physician
NPI Number: 1194999664
Address: 8 OKATIE BLVD S Okatie, SC 29909 , Phone: 9123528700
Cardiovascular Disease Physician
NPI Number: 1194999664
Address: 8 OKATIE BLVD S Okatie, SC 29909 , Phone: 9123528700
Dr. Joel Stephen Bayer
Surgery Physician
NPI Number: 1083888242
Address: 15 CATAMARAN LN Okatie, SC 29909 , Phone: 8436454406
Surgery Physician
NPI Number: 1083888242
Address: 15 CATAMARAN LN Okatie, SC 29909 , Phone: 8436454406
William Edward Kyle
Internal Medicine Physician
NPI Number: 1770758351
Address: 14 OKATIE CENTER BLVD S SUITE 101 Okatie, SC 29909 , Phone: 8438363800
Internal Medicine Physician
NPI Number: 1770758351
Address: 14 OKATIE CENTER BLVD S SUITE 101 Okatie, SC 29909 , Phone: 8438363800
Dr. Jana Wheeler
Pediatric Nurse Practitioner
NPI Number: 1285800235
Address: 4 OKATIE CTR BLVD BLDG 6. SUITE 201 Okatie, SC 29909 , Phone: 8437063206
Pediatric Nurse Practitioner
NPI Number: 1285800235
Address: 4 OKATIE CTR BLVD BLDG 6. SUITE 201 Okatie, SC 29909 , Phone: 8437063206
Provident Health Surgical Associates, Inc.
Gynecologic Oncology Physician
NPI Number: 1083862882
Address: 14 OKATIE CENTER BLVD. SOUTH SUITE 101 Okatie, SC 29909 , Phone: 9123502299
Gynecologic Oncology Physician
NPI Number: 1083862882
Address: 14 OKATIE CENTER BLVD. SOUTH SUITE 101 Okatie, SC 29909 , Phone: 9123502299
Georgia Eye Institute Of The Southeast, Llc
Ophthalmology Physician
NPI Number: 1750535621
Address: 4 OKATIE CENTER BLVD. STE. 102 Okatie, SC 29909 , Phone: 8437053333
Ophthalmology Physician
NPI Number: 1750535621
Address: 4 OKATIE CENTER BLVD. STE. 102 Okatie, SC 29909 , Phone: 8437053333
Bluffton Okatie Primary Care, Llc
Family Medicine Physician
NPI Number: 1326285115
Address: 40 OKATIE CENTER BLVD SOUTH SUITE 100A Okatie, SC 29909 , Phone: 8437058888
Family Medicine Physician
NPI Number: 1326285115
Address: 40 OKATIE CENTER BLVD SOUTH SUITE 100A Okatie, SC 29909 , Phone: 8437058888
Okatie Surgical Partners, Llc
Surgery Physician
NPI Number: 1821236290
Address: 40 OKATIE CENTER BLVD S SUITE 100 Okatie, SC 29909 , Phone: 8437058888
Surgery Physician
NPI Number: 1821236290
Address: 40 OKATIE CENTER BLVD S SUITE 100 Okatie, SC 29909 , Phone: 8437058888
Jill C. Blau
Podiatrist
NPI Number: 1548402506
Address: 40 OKATIE CTR BLVD STE 205 Okatie, SC 29909 , Phone: 8433799913
Podiatrist
NPI Number: 1548402506
Address: 40 OKATIE CTR BLVD STE 205 Okatie, SC 29909 , Phone: 8433799913
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