| |
600 N Wheeler Ave, Prosperity, SC 29127-9332 | |
(312) 339-6498 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 600 N Wheeler Ave, Prosperity, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235480161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 619 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
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600 N Wheeler Ave, Prosperity, SC 29127-9332 Ph: (312) 339-6498 | 600 N Wheeler Ave, Prosperity, SC 29127-9332 Ph: (312) 339-6498 |
Mrs. Corbett Elizabeth Toussaint, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 600 N Wheeler Ave, Prosperity, SC 29127 Phone: 803-767-1023 |