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Providence Foot & Ankle Centers Pc
Foot & Ankle Surgery Podiatrist in Greenwood, South Carolina
NPI 1356598593

Providence Foot & Ankle Centers Pc is a Foot & Ankle Surgery Podiatrist based in Atlanta, SC and is specialized in Foot & Ankle Surgery. Providence Foot & Ankle Centers Pc practices in Greenwood, SC. The NPI Number for Providence Foot & Ankle Centers Pc is 1356598593 and holds a License No. (South Carolina).

The current practice location address for Providence Foot & Ankle Centers Pc is 1110 Marshall Rd, Greenwood, SC and can be reached out via phone at 866-896-3338 and via fax at 770-790-4752. You can also correspond with Providence Foot & Ankle Centers Pc through the mailing address at 3886 PRINCETON LAKES WAY SW, ATLANTA, GA - 30331-5511 (mailing address contact number: 770-745-4224).

Location: 1110 Marshall Rd, Greenwood, SC, 30331-5511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356598593
Provider Name
Providence Foot & Ankle Centers Pc
Credential
Provider Entity Type
Organization
Address
1110 Marshall Rd, Greenwood, SC, 30331-5511
Phone Number
866-896-3338
Fax Number
770-790-4752
Provider Enumeration Date
08/19/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9277 01 SC MEDICARE GROUP PTAN FOR SC (PALMETTO GBA)
DQ9090 01 SC MEDICARE RR (PALMETTO GBA) SC
PENDING 01 SC DME (PALMETTO GBA NSC) GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
1110 Marshall Rd
City
Greenwood
State
South Carolina
Zip
29646-4216
Phone Number
866-896-3338
Fax Number
770-790-4752
person
Provider Business Mailing Address Details
Address
3886 Princeton Lakes Way Sw
City
Atlanta
State
Georgia
Zip
30331-5511
Phone Number
770-745-4224
Fax Number
770-790-4752
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
()
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
213ER0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
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