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FISHER FOOT CLINIC LLC NPI 1093876757


NPI Information

NPI: 1093876757
Provider Name: FISHER FOOT CLINIC, LLC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
135 EXPRESS LN
ORANGEBURG, SC
ZIP 29118
Phone: (803) 536-2100
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FISHER FOOT CLINIC, LLC is a foot surgery podiatrist in Orangeburg, SC. FISHER FOOT CLINIC, LLC NPI is 1093876757. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

135 EXPRESS LN
ORANGEBURG, SC
ZIP 29118-475
Phone: (803) 536-2100
Fax: (803) 536-4399

The provider's authorized official is Dana J Fisher .
The authorized official title is Owner and has the following contact phone number (803) 536-2100.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 12/8/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot Surgery00567SOUTH CAROLINAYes

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
1GP9922MEDICAIDSOUTH CAROLINA
25405470001MEDICARE NSCSOUTH CAROLINA
3U96190MEDICARE UPINSOUTH 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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