PALMETTO PODIATRY GROUP OF ANDERSON PA NPI 1043316987

NPI Information

PALMETTO PODIATRY GROUP OF ANDERSON, PA is a foot surgery podiatrist in Anderson, SC. PALMETTO PODIATRY GROUP OF ANDERSON, PA NPI is 1043316987. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2126 - B HWY 81 NORTH
ANDERSON, SC
ZIP 29621-819
Phone: (864) 231-6395
Fax: (864) 231-6520

The provider's authorized official is James L Rose .
The authorized official title is President and has the following contact phone number (864) 231-6395.

The CLIA number assigned to this NPI record is 42D2179576 - other - clinical research facilit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 3/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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