Dr. Emanuel Willis
Podiatrist Foot Surgery
2630a Hardee Cv
Sumter
, South Carolina 29150-1893
Dr. Emanuel Willis
Podiatrist Foot Surgery
2630a Hardee Cv
Sumter
, South Carolina 29150-1893
(803) 469-9253
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About
Features
Specialties
- Podiatrist
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Emanuel Willis
- 2620 Hardee Cv
- Sumter, SC
- Zip : 29150-1893
- Fax : (803) 469-9253
- Phone : (803) 469-9255
Second Address
- Dr. Emanuel Willis
- 2630a Hardee Cv
- Sumter, SC
- Zip : 29150-1893
- Fax : (803) 469-9253
- Phone : (803) 469-9255
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 88 | SC |
| N | 222Z00000X | Podiatrist | 88 | SC |
| Y | 213ES0131X | Foot Surgery | 88 | SC |
National Provider Identifier
| NPI | 1255392064 |
|---|---|
| Provider Name | Dr. Emanuel Willis |
| First Address | Sumter, SC 29150-1893 |
| Second Address | Sumter, SC 29150-1893 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2006 |
| Last Update Date | 23/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| GP9925 | (05) | SC |
| PD0886 | (05) | SC |
| U31518 | (02) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.