South Carolina Podiatric Physicians And Surgeons Group, LLC
Podiatrist, Foot & Ankle Surgery in Greenville, SC. Organization (NPI-2).
NPI number1104241223
StatusActive
Last updated in NPPESJun 24, 2014
Details
- NPI
- 1104241223
- Entity type
- Organization (NPI-2)
- Legal business name
- South Carolina Podiatric Physicians And Surgeons Group, LLC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2014
- Last updated
- Jun 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | SC | Yes |
Other names
- Piedmont Podiatry Assoc. (Doing Business As)
Practice location
11 Mills AveGreenville, SC 29605-4015
Phone 864-232-3668 · Fax 864-271-0526
Mailing address
8141 Rourk StreetMyrtle Beach, SC 29572
Phone 803-285-1411
Authorized official
Brandon Percival
President
8032851411
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