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CHARLESTON PODIATRY PA NPI 1760531495


NPI Information

NPI: 1760531495
Provider Name: CHARLESTON PODIATRY PA

Doing Business As: CAROLINA FOOT CENTERS

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
60 MARKFIELD DR
STE 3
CHARLESTON, SC
ZIP 29407
Phone: (843) 571-0602
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CHARLESTON PODIATRY PA is a foot and ankle surgery podiatrist in Charleston, SC. CHARLESTON PODIATRY PA NPI is 1760531495. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolina Foot Centers.

The provider's business location address is:

60 MARKFIELD DR
STE 3
CHARLESTON, SC
ZIP 29407-907
Phone: (843) 571-0602
Fax: (843) 571-0605

The provider's authorized official is Stuart L Tessler .
The authorized official title is President and has the following contact phone number (843) 571-0602.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 4/10/2008.


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 Surgery139SOUTH 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
1GP9941MEDICAIDSOUTH CAROLINA
21143580001MEDICARE NSCSOUTH CAROLINA
36790MEDICARE 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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