NPI 1063834646

South Carolina Podiatric Physicians and Surgeons Group, LLC

Organisation Primary Podiatric Medicine Podiatrist Lancaster, SC

Practice location

Address: 1190 Highway 9 Byp W, Lancaster, SC 29720-1709
Phone: (803) 285-1411
Fax: (803) 283-9920
Mailing address: 8141 Rourk St, Myrtle Beach, SC 29572-4128

Authorised official

Name: Brandon S Percival
Title: President
Phone: (803) 285-1411

Registered specialties (3)

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X

Other Podiatrist providers in South Carolina →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Foot Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X

Registry record

NPI: 1063834646
Entity type: Organization
NPI issued: 15 Jan 2014
Record last updated: 18 Jul 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.