| |
501 Rochester Hwy Ste C2, Seneca, SC 29672-2463 | |
(864) 985-0808 | |
(864) 985-0525 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Primary Podiatric Medicine |
Location | 501 Rochester Hwy Ste C2, Seneca, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750423968 | NPI | - | NPPES |
PD1082 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213EP1101X | Podiatrist - Primary Podiatric Medicine | 108 (South Carolina) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
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501 Rochester Hwy Ste C2, Seneca, SC 29672-2463 Ph: (864) 985-0808 | 501 Rochester Hwy Ste C2, Seneca, SC 29672-2463 Ph: (864) 985-0808 |