Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 511 | SC |
NPI | 1104988278 |
---|---|
Provider Name | Dr. Sean Edward Vanmarter |
First Address | Bluffton, SC 29910-6025 |
Second Address | Bluffton, SC 29910-6025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2006 |
Last Update Date | 07/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
480028016 | RAILROAD MEDICARE (01) | SC |
PD5113 | (05) | SC |
U67783 | (02) | SC |