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SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUPLLC NPI 1225455835


NPI Information

NPI: 1225455835
Provider Name: SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP,LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
8020 MYRTLE TRACE DR
CONWAY, SC
ZIP 29526
Phone: (843) 234-9100
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SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP,LLC is a podiatrist in Conway, 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. SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP,LLC NPI is 1225455835. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8020 MYRTLE TRACE DR
CONWAY, SC
ZIP 29526-945
Phone: (843) 234-9100
Fax: (843) 234-9103

The provider's authorized official is Brandon S 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 3/20/2014 and was last updated on 3/20/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgerySOUTH CAROLINANo
2213ES0131XPodiatristFoot SurgerySOUTH CAROLINANo
3213E00000XPodiatristSOUTH CAROLINAYes

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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