| |
7182 Woodrow St Ste 105, Irmo, SC 29063-2832 | |
(803) 781-3500 | |
(803) 781-2924 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 7182 Woodrow St Ste 105, Irmo, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659540771 | NPI | - | NPPES |
480027811 | Other | SC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 517 (South Carolina) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | 517 (South Carolina) | Secondary |
Mailing Address | Practice Location Address |
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7182 Woodrow St Ste 105, Irmo, SC 29063-2832 Ph: (803) 781-3500 | 7182 Woodrow St Ste 105, Irmo, SC 29063-2832 Ph: (803) 781-3500 |
Dr. Daniel Ab Methuselah, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 105, Irmo, SC 29063 Phone: 803-781-3500 Fax: 803-781-2924 |