NPI 1053511253

Corinne Marie Wisdo, DPM

Practitioner Foot Surgery Podiatrist Myrtle Beach, SC

Practice location

Address: 907 Medical Cir, Myrtle Beach, SC 29572-4116
Phone: (843) 357-3762
Fax: (843) 357-3772

Registered specialties (2)

Foot Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 592 (SC)

Other Podiatrist providers in South Carolina →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence SC006008 (PA)

Registry record

NPI: 1053511253
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jul 2007
Record last updated: 29 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.