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Mid-carolina Podiatry, Inc.
Prosthetic/Orthotic Supplier in Lexington, South Carolina
NPI 1457543589

Mid-carolina Podiatry, Inc. is a Prosthetic/Orthotic Supplier based in Lexington, SC. Mid-carolina Podiatry, Inc. practices in Lexington, SC. The NPI Number for Mid-carolina Podiatry, Inc. is 1457543589 and holds a License No. 00130 (South Carolina).

The current practice location address for Mid-carolina Podiatry, Inc. is 1207 N Lake Dr, Lexington, SC and can be reached out via phone at 803-359-5435 and via fax at 803-359-4502.

Location: 1207 N Lake Dr, Lexington, SC, 29072-7647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457543589
Provider Name
Mid-carolina Podiatry, Inc.
Credential
Provider Entity Type
Organization
Address
1207 N Lake Dr, Lexington, SC, 29072-7647
Phone Number
803-359-5435
Fax Number
803-359-4502
Provider Enumeration Date
08/13/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18003 01 SC DMERC-PAYOR NUMBER
institution
Provider Business Practice Location Address Details
Address
1207 N Lake Dr
City
Lexington
State
South Carolina
Zip
29072-7647
Phone Number
803-359-5435
Fax Number
803-359-4502
person
Provider Business Mailing Address Details
Address
1207 N Lake Dr
City
Lexington
State
South Carolina
Zip
29072-7647
Phone Number
803-359-5435
Fax Number
803-359-4502
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
00130 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
00130 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
00130 (South Carolina)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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