| |
1004 12th St, Cayce, SC 29033-3303 | |
(803) 796-0616 | |
(803) 796-0812 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 1004 12th St, Cayce, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1528062965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | 518 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
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Po Box 3325, West Columbia, SC 29171-3325 Ph: (803) 796-0616 | 1004 12th St, Cayce, SC 29033-3303 Ph: (803) 796-0616 |