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PHYSICIANS FOOTCARE LLC NPI 1194909556


NPI Information

NPI: 1194909556
Provider Name: PHYSICIANS FOOTCARE, LLC

Former Legal Business Name: THE FOOT INSTITUTE, LLC

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1730 SAINT JULIAN PL
COLUMBIA, SC
ZIP 29204
Phone: (803) 256-6776
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PHYSICIANS FOOTCARE, LLC is a foot and ankle surgery podiatrist in Columbia, SC. PHYSICIANS FOOTCARE, LLC NPI is 1194909556. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is The Foot Institute, Llc.

The provider's business location address is:

1730 SAINT JULIAN PL
COLUMBIA, SC
ZIP 29204
Phone: (803) 256-6776
Fax: (803) 256-6778

The provider's authorized official is Kevin L. Ray .
The authorized official title is Medical Director and has the following contact phone number (803) 256-6776.

The enumeration date for this NPI number is 12/20/2007 and was last updated on 2/23/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2213ES0103XPodiatristFoot & Ankle SurgeryYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DN1264OTHERSOUTH CAROLINAMEDICARE RR
2GP9909MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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