Foot Clinic Of South Carolina, Llc in Mauldin - Foot Surgery
Foot Clinic Of South Carolina, Llc - NPI 1861538969
Foot Clinic Of South Carolina, Llc is a Foot Surgery in Mauldin, South Carolina. Foot Clinic Of South Carolina, Llc practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Foot Clinic Of South Carolina, Llc is 1861538969. The last update date is 2011-01-31.
Foot Clinic Of South Carolina, Llc's current location address is 211 E Butler Rd, Mauldin, South Carolina. You can contact this provider via phone number 8642819171 and fax number 8642819170. The mailing address for Foot Clinic Of South Carolina, Llc is 211 E Butler Rd, Mauldin, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Foot Clinic Of South Carolina, Llc |
|---|---|
| Address | 211 E Butler Rd, Mauldin, South Carolina |
| Phone Number | 8642819171 |
| Fax Number | 8642819170 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lindstrom Allen Bradley |
| Credentials | DPM |
| Telephone Number | 8642819171 |
NPI Number Detail
| NPI Number | 1861538969 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2011-01-31 |
Provider Mailing Address Detail
| Address | 211 E Butler Rd |
|---|---|
| City | Mauldin |
| State | South Carolina (SC) |
| Post Code | 296622169 |
| Phone Number | 8642819171 |
| Fax Number | 8642819170 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | 555 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 480033893 | SC | RAILROAD MEDICARE | |
| GP9936 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Foot Clinic Of South Carolina, Llc by the Centers for Medicare & Medicaid Services?
The Foot Clinic Of South Carolina, Llc has been issued the NPI (National Provider Identifier) 1861538969 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Foot Clinic Of South Carolina, Llc is physically located?
The Foot Clinic Of South Carolina, Llc is situated at the following address: 211 E Butler Rd, Mauldin, SC 296622169.
What is Foot Clinic Of South Carolina, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Foot Clinic Of South Carolina, Llc's area of specialization is Foot Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0131X.
On what date did the Foot Clinic Of South Carolina, Llc receive its 1861538969 assignment from the Centers for Medicare & Medicaid Services?
The Foot Clinic Of South Carolina, Llc was assigned its 1861538969 by the Centers for Medicare & Medicaid Services on 2007-01-29.
When was the Foot Clinic Of South Carolina, Llc's information last updated?
The Foot Clinic Of South Carolina, Llc's information was last updated on 2011-01-31.
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