South Carolina Podiatric Physicians and Surgeons Group, LLC
NPI #1104241223 in Greenville, South Carolina
Provider Information
- NPI Number
- 1104241223
- Entity Type
- Organization
- Organization Name
- South Carolina Podiatric Physicians and Surgeons Group, LLC
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Feb 26, 2014
- Last Updated
- Jun 24, 2014
Practice Location
- Address
- 11 MILLS AVE
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29605-4015
- Phone
- (864) 232-3668
Authorized Official
- Name
- DR. BRANDON PERCIVAL, D.P.M.
- Title
- PRESIDENT
- Phone
- (803) 285-1411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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