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GEORGETOWN PODIATRY GROUP PC NPI 1275721466


NPI Information

NPI: 1275721466
Provider Name: GEORGETOWN PODIATRY GROUP PC

Doing Business As: PAWLEYS PODIATRY

Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 42D0871425

Address:
10593 OCEAN HWY
UNIT B
PAWLEYS ISLAND, SC
ZIP 29585
Phone: (843) 235-0002
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GEORGETOWN PODIATRY GROUP PC is a podiatrist in Pawleys Island, 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. GEORGETOWN PODIATRY GROUP PC NPI is 1275721466. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pawleys Podiatry.

The provider's business location address is:

10593 OCEAN HWY
UNIT B
PAWLEYS ISLAND, SC
ZIP 29585-543
Phone: (843) 235-0002
Fax: (834) 235-0014

The provider's authorized official is Ralph Stephen Sprinkle .
The authorized official title is Owner and has the following contact phone number (843) 235-0002.

The CLIA number assigned to this NPI record is 42D0871425 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/12/2007 and was last updated on 5/6/2015.


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
1213E00000XPodiatrist0105SOUTH 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
15265MEDICARE 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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