SANDHILLS FOOT CLINIC NPI 1972960722

NPI Information

NPI: 1972960722
Provider Name: SANDHILLS FOOT CLINIC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

CLIA Number: 42D2136843

Address:
1821 CLEMSON RD
COLUMBIA, SC
ZIP 29229
Phone: (803) 788-6400
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SANDHILLS FOOT CLINIC is a podiatric clinic center in Columbia, SC. SANDHILLS FOOT CLINIC NPI is 1972960722. The provider is registered as an organization entity type.

The provider's business location address is:

1821 CLEMSON RD
COLUMBIA, SC
ZIP 29229-832
Phone: (803) 788-6400

The provider's authorized official is Michael Thacker .
The authorized official title is Sole Member and has the following contact phone number (803) 788-6400.

The CLIA number assigned to this NPI record is 42D2136843 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2016 and was last updated on 1/25/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric	00627	SOUTH CAROLINA	Yes

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

NPI Synchronization or Removal

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