Upstate Podiatry Group, Pa | |
801 Se Main St, Simpsonville, SC 29681 | |
(864) 399-9070 | |
(864) 399-9664 |
Full Name | Upstate Podiatry Group, Pa |
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Type | Facility |
Speciality | Podiatrist |
Location | 801 Se Main St, Simpsonville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144660036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | 617 (South Carolina) | Primary |
Provider Name | Anthony L Mathis |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1407825953 PECOS PAC ID: 1254387582 Enrollment ID: I20050329001256 |
Provider Name | William Long |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1447486980 PECOS PAC ID: 1850535857 Enrollment ID: I20130912000667 |
Provider Name | Chad Sloan Bracey |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1780031781 PECOS PAC ID: 1951634229 Enrollment ID: I20190531002315 |
Provider Name | Terryn Giles |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1568995504 PECOS PAC ID: 6901130848 Enrollment ID: I20200629001902 |
Provider Name | Tejal Messana |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1255992392 PECOS PAC ID: 3476920174 Enrollment ID: I20221109003021 |
Provider Name | Bryan Raymond |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1811456619 PECOS PAC ID: 9436518131 Enrollment ID: I20230628002980 |
Mailing Address | Practice Location Address |
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Upstate Podiatry Group, Pa 801 Se Main Street, Simpsonville, SC 29681 Ph: (864) 399-9070 | Upstate Podiatry Group, Pa 801 Se Main St, Simpsonville, SC 29681 Ph: (864) 399-9070 |
Dr. William S Long, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 801 Se Main Street, Simpsonville, SC 29681 Phone: 864-399-9070 Fax: 864-399-9664 | |
Upstate Podiatry Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 114b Hospital Dr, Simpsonville, SC 29681 Phone: 864-399-9070 Fax: 864-399-9664 |