Conway Podiatry Center Pc in Conway - Podiatrist

Conway Podiatry Center Pc - NPI 1093794166

Conway Podiatry Center Pc is a Podiatrist in Conway, South Carolina. Conway Podiatry Center Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Conway Podiatry Center Pc is 1093794166. The last update date is 2010-08-20.

Conway Podiatry Center Pc's current location address is 8020 Myrtle Trace Dr, Conway, South Carolina. You can contact this provider via phone number 8432367170. The mailing address for Conway Podiatry Center Pc is 8020 Myrtle Trace Dr, Conway, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Conway Podiatry Center Pc
Address 8020 Myrtle Trace Dr, Conway, South Carolina
Phone Number 8432367170
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Parker L William
Credentials DPM
Telephone Number 8432367170

NPI Number Detail

NPI Number 1093794166
Provider Enumeration Date 2006-01-17
Last Updated Date 2010-08-20

Provider Mailing Address Detail

Address 8020 Myrtle Trace Dr
City Conway
State South Carolina (SC)
Post Code 295268945
Phone Number 8432367170
Fax Number

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 568
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PD5684 SC --

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FAQs about Conway Podiatry Center Pc

What is the Conway Podiatry Center Pc's unique identification number?

The Conway Podiatry Center Pc has been assigned the NPI (National Provider Identifier) Number 1093794166 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Conway Podiatry Center Pc's physical address?

The Conway Podiatry Center Pc is physically located at 8020 Myrtle Trace Dr, in the city of Conway, SC, with the postal code 295268945.

What is the Conway Podiatry Center Pc's area of specialization and corresponding taxonomy classification?

The Conway Podiatry Center Pc's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1093794166 assigned to Conway Podiatry Center Pc?

The Conway Podiatry Center Pc was issued its 1093794166 on 2006-01-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Conway Podiatry Center Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Conway Podiatry Center Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-08-20.

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