SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC NPI 1144645722

NPI Information

  • NPI: 1144645722
  • Provider Name: SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 1 MEDICAL PARK DR STE C
    CHESTER, SC
    ZIP 29706
  • Phone: (803) 285-1411

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NPI Details

SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC is a foot and ankle surgery podiatrist in Chester, SC. SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC NPI is 1144645722. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 MEDICAL PARK DR STE C
CHESTER, SC
ZIP 29706-769
Phone: (803) 285-1411

The provider's authorized official is Brandon Percival .
The authorized official title is President and has the following contact phone number (803) 285-1411.

The enumeration date for this NPI number is 2/19/2014 and was last updated on 7/18/2014.

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
1213ES0103XPodiatristFoot & 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17097150008MEDICARE NSCSOUTH CAROLINA
2D593MEDICARE 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: 3/30/2025

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