institution
Coastal Carolina Podiatry Inc
Foot & Ankle Surgery Podiatrist in Ladson, South Carolina
NPI 1154331544

Coastal Carolina Podiatry Inc is a Foot & Ankle Surgery Podiatrist based in Ladson, SC and is specialized in Foot & Ankle Surgery. Coastal Carolina Podiatry Inc practices in Ladson, SC. The NPI Number for Coastal Carolina Podiatry Inc is 1154331544 and holds a License No. 556 (South Carolina).

The current practice location address for Coastal Carolina Podiatry Inc is 4340 Ladson Rd, Ladson, SC and can be reached out via phone at 843-851-9069.

Location: 4340 Ladson Rd, Ladson, SC, 29456-6444
institution
Provider Profile Details
NPI Number
1154331544
Provider Name
Coastal Carolina Podiatry Inc
Credential
Provider Entity Type
Organization
Address
4340 Ladson Rd, Ladson, SC, 29456-6444
Phone Number
843-851-9069
Fax Number
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DF0094 01 SC RR MEDICARE
PD5561 05 SC
institution
Provider Business Practice Location Address Details
Address
4340 Ladson Rd
City
State
Zip
29456-6444
Phone Number
843-851-9069
Fax Number
person
Provider Business Mailing Address Details
Address
4340 Ladson Rd
City
State
Zip
29456-6444
Phone Number
843-851-9069
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
556 (South Carolina)
Definition
Definition to come...
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