| |
1035 Medical Ridge Rd, Clinton, SC 29325-4542 | |
(864) 938-6984 | |
(978) 327-7938 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1035 Medical Ridge Rd, Clinton, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255756797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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211 E Butler Rd Ste A2, Mauldin, SC 29662-2170 Ph: (864) 281-9171 | 1035 Medical Ridge Rd, Clinton, SC 29325-4542 Ph: (864) 938-6984 |