Upstate Podiatry Group, PA
NPI #1619479342 in Clinton, South Carolina
Provider Information
- NPI Number
- 1619479342
- Entity Type
- Organization
- Organization Name
- Upstate Podiatry Group, PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- UPSTATE PODIATRY GROUP, PA
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 8, 2018
- Last Updated
- Apr 8, 2020
Practice Location
- Address
- 1012 MEDICAL RIDGE RD
- City
- Clinton
- State
- South Carolina
- ZIP Code
- 29325-4542
- Phone
- (864) 833-9274
Authorized Official
- Name
- STEPHANIE THOMAS
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (864) 399-9070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
| Durable Medical Equipment & Medical Supplies |
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