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HARDEEVILLE MEDICAL GROUP LLC NPI 1609245737


NPI Information

NPI: 1609245737
Provider Name: HARDEEVILLE MEDICAL GROUP, LLC

Doing Business As: ISLAND PODIATRY

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3 CELADON DR
SUITE A
BEAUFORT, SC
ZIP 29907
Phone: (843) 705-8888
Get Directions

HARDEEVILLE MEDICAL GROUP, LLC is a podiatrist in Beaufort, 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. HARDEEVILLE MEDICAL GROUP, LLC NPI is 1609245737. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Island Podiatry.

The provider's business location address is:

3 CELADON DR
SUITE A
BEAUFORT, SC
ZIP 29907-695
Phone: (843) 705-8888
Fax: (843) 705-7024

The provider's authorized official is Wesley O. James .
The authorized official title is Regional Cfo, Tenet and has the following contact phone number (404) 265-5009.

The enumeration date for this NPI number is 9/18/2015 and was last updated on 6/8/2016.


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
1213E00000XPodiatristYes

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: 5/5/2024

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