| Providence Foot & Ankle Centers Pc | |
|
1110 Marshall Rd, Wellness Center, Greenwood, SC 29646-4216 | |
| (866) 896-3338 | |
| (770) 790-4752 |
| Full Name | Providence Foot & Ankle Centers Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1110 Marshall Rd, Greenwood, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356598593 | NPI | - | NPPES |
| 9277 | Other | SC | MEDICARE GROUP PTAN FOR SC (PALMETTO GBA) |
| DQ9090 | Other | SC | MEDICARE RR (PALMETTO GBA) SC |
| PENDING | Other | SC | DME (PALMETTO GBA NSC) GROUP PTAN |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Foot & Ankle Centers Pc 3886 Princeton Lakes Way Sw, Suite 140a, Atlanta, GA 30331-5511 Ph: (770) 745-4224 | Providence Foot & Ankle Centers Pc 1110 Marshall Rd, Wellness Center, Greenwood, SC 29646-4216 Ph: (866) 896-3338 |
Kelly L Mandile, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1506 Spring St, Greenwood, SC 29646 Phone: 864-725-7430 Fax: 864-725-7431 | |
Dr. Alexander Barnett, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1506 Spring St, Greenwood, SC 29646 Phone: 864-725-7430 Fax: 864-725-7431 | |
Greenwood Podiatric Medical Associates, Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 109 Venture Ct, Greenwood, SC 29649 Phone: 864-223-3338 Fax: 864-388-9855 | |
Self Medical Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 102 Katie Ct, Greenwood, SC 29646 Phone: 864-725-4111 | |
Gait Medical Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1110 Marshall Rd, Wellness Center-podiatry, Greenwood, SC 29646 Phone: 215-740-7000 Fax: 770-790-4752 |