| |
2075 Eagle Landing Blvd, N Charleston, SC 29406-4074 | |
(843) 881-9158 | |
(843) 971-1105 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 2075 Eagle Landing Blvd, N Charleston, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720376130 | NPI | - | NPPES |
DP0704 | Other | SC | RAILROAD MEDICARE GROUP ID-RSFPN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (South Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620 | 2075 Eagle Landing Blvd, N Charleston, SC 29406-4074 Ph: (843) 881-9158 |
Low Country Family Podiatry Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9313 Medical Plaza Dr, Suite 301, N Charleston, SC 29406 Phone: 843-553-2909 Fax: 843-553-4684 |