NPI 1033534300
South Carolina Podiatric Physicians and Surgeons Group,llc
Practice location
- Address
- 2376 Cypress Cir STE 201, Conway, SC 29526-8964
- Phone
- (843) 347-3334
- Fax
- (843) 431-2786
- Mailing address
- 8141 Rourk St, Myrtle Beach, SC 29572-4128
Authorised official
- Name
- Brandon Percival
- Title
- President
- Phone
- (803) 285-1411
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1033534300
- Entity type
- Organization
- NPI issued
- 24 Feb 2014
- Record last updated
- 24 Feb 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.