Coastal Carolina Podiatry Inc | |
4340 Ladson Rd, Suite C, Ladson, SC 29456-6444 | |
(843) 851-9069 | |
Not Available |
Full Name | Coastal Carolina Podiatry Inc |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 4340 Ladson Rd, Ladson, 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 |
---|---|---|---|
1154331544 | NPI | - | NPPES |
DF0094 | Other | SC | RR MEDICARE |
PD5561 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 556 (South Carolina) | Primary |
Provider Name | William Hal Hatchett |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1083689400 PECOS PAC ID: 1850396839 Enrollment ID: I20060926000205 |
Provider Name | Kathryn D Wilson Horney |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1073670493 PECOS PAC ID: 9739151812 Enrollment ID: I20090615000152 |
Provider Name | Edwin Blitch |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1376518795 PECOS PAC ID: 0345351318 Enrollment ID: I20111230000104 |
Provider Name | Vito Speciale |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1689656498 PECOS PAC ID: 8820069941 Enrollment ID: I20130422000110 |
Provider Name | Breelyn Nicole Miles |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1639664766 PECOS PAC ID: 2961811203 Enrollment ID: I20210517002314 |
Mailing Address | Practice Location Address |
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Coastal Carolina Podiatry Inc 4340 Ladson Rd, Suite C, Ladson, SC 29456-6444 Ph: (843) 851-9069 | Coastal Carolina Podiatry Inc 4340 Ladson Rd, Suite C, Ladson, SC 29456-6444 Ph: (843) 851-9069 |
Flowertown Podiatry, Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 4340 Ladson Rd Ste C, Ladson, SC 29456 Phone: 843-851-9069 | |
Ms. Breelyn Nicole Miles, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4340 Ladson Rd Ste C, Ladson, SC 29456 Phone: 843-851-9069 Fax: 843-871-8248 |