South Carolina Podiatric Physicians and Surgeons Group, LLC

NPI #1982029799 in Mullins, South Carolina

Provider Information

NPI Number: 1982029799
Entity Type: Organization
Organization Name: South Carolina Podiatric Physicians and Surgeons Group, LLC
Primary Specialty: Podiatrist - Foot & Ankle Surgery
Enumeration Date: Mar 3, 2014
Last Updated: Mar 3, 2014

Practice Location

Address: 2845 E HIGHWAY 76
Address 2: MEDICAL PARK 2 STE 1
City: Mullins
State: South Carolina
ZIP Code: 29574-6037
Phone: (843) 431-2780

Authorized Official

Name: BRANDON PERCIVAL
Title: PRESIDENT
Phone: (803) 285-1411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X	Primary

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