Carolina Podiatry Clinic Llc | |
2502 Broad St, Camden, SC 29020 | |
(803) 425-5510 | |
(803) 432-4776 |
Full Name | Carolina Podiatry Clinic Llc |
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Type | Facility |
Speciality | Podiatrist - Primary Podiatric Medicine |
Location | 2502 Broad St, Camden, 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 |
---|---|---|---|
1932421385 | NPI | - | NPPES |
GP9894 | Medicaid | SC | |
DQ3852 | Other | SC | RR MEDICARE |
Provider Name | John Ksor |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1346384971 PECOS PAC ID: 8123090305 Enrollment ID: I20040809000765 |
Provider Name | Jonathan Braun Ksor |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1326254848 PECOS PAC ID: 6305746025 Enrollment ID: I20110816000549 |
Mailing Address | Practice Location Address |
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Carolina Podiatry Clinic Llc 2604 Broad St, Camden, SC 29020-2240 Ph: (803) 425-5510 | Carolina Podiatry Clinic Llc 2502 Broad St, Camden, SC 29020 Ph: (803) 425-5510 |
Camden Foot Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 133 Sparkleberry Ln, Camden, SC 29020 Phone: 803-669-2709 Fax: 803-713-1310 | |
Dr. Jonathan Braun Ksor, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2502 Broad St, Camden, SC 29020 Phone: 803-425-5510 Fax: 803-432-4776 | |
John Ksor, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2502 Broad St, Camden, SC 29020 Phone: 803-425-5510 | |
Dr. Richard A Burnell, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 133 Sparkleberry Ln, Camden, SC 29020 Phone: 803-669-2709 Fax: 803-713-1310 |