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CAROLINA PODIATRY NPI 1649223389


NPI Information

NPI: 1649223389
Provider Name: CAROLINA PODIATRY
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
506 E CHEVES ST
FLORENCE, SC
ZIP 29506
Phone: (843) 413-3100
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CAROLINA PODIATRY is a podiatrist in Florence, SC. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. CAROLINA PODIATRY NPI is 1649223389. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

506 E CHEVES ST
FLORENCE, SC
ZIP 29506-616
Phone: (843) 413-3100
Fax: (843) 413-3197

The provider's authorized official is Jeffrey P Muha .
The authorized official title is Ceo and has the following contact phone number (843) 413-3100.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 10/27/2010.


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
1213E00000XPodiatristYes

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
12669MEDICARE PINSOUTH CAROLINA
2PC0968MEDICAIDSOUTH CAROLINA
3890805HMEDICAIDNORTH CAROLINA
40270850001MEDICARE NSCSOUTH CAROLINA
52669MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
6C14658MEDICARE PINSOUTH 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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