institution
Coastal Carolina Podiatry Inc
Foot & Ankle Surgery Podiatrist in Summerville, South Carolina
NPI 1629282744

Coastal Carolina Podiatry Inc is a Foot & Ankle Surgery Podiatrist based in Summerville, SC and is specialized in Foot & Ankle Surgery. Coastal Carolina Podiatry Inc practices in Summerville, SC. The NPI Number for Coastal Carolina Podiatry Inc is 1629282744 and holds a License No. 0556 (South Carolina).

The current practice location address for Coastal Carolina Podiatry Inc is 299 Midland Pkwy # B, Summerville, SC and can be reached out via phone at 843-851-9069 and via fax at 843-871-8248.

Location: 299 Midland Pkwy # B, Summerville, SC, 29485-8104
institution
Provider Profile Details
NPI Number
1629282744
Provider Name
Coastal Carolina Podiatry Inc
Credential
Provider Entity Type
Organization
Address
299 Midland Pkwy # B, Summerville, SC, 29485-8104
Phone Number
843-851-9069
Fax Number
843-871-8248
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
DF0094 01 RR MEDICARE
PD5561 05 SC
CM2497 01 SC RAIL ROAD
institution
Provider Business Practice Location Address Details
Address
299 Midland Pkwy # B
City
State
Zip
29485-8104
Phone Number
843-851-9069
Fax Number
843-871-8248
person
Provider Business Mailing Address Details
Address
299 Midland Pkwy # B
City
State
Zip
29485-8104
Phone Number
843-851-9069
Fax Number
843-871-8248
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
0556 (South Carolina)
Definition
Definition to come...
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