NPI 1104241223

South Carolina Podiatric Physicians and Surgeons Group, LLC

Organisation Foot & Ankle Surgery Podiatrist Greenville, SC

Practice location

Address: 11 Mills Ave, Greenville, SC 29605-4015
Phone: (864) 232-3668
Fax: (864) 271-0526
Mailing address: 8141 Rourk Street, Myrtle Beach, SC 29572

Authorised official

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

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Other Podiatrist providers in South Carolina →

Registry record

NPI: 1104241223
Entity type: Organization
NPI issued: 26 Feb 2014
Record last updated: 24 Jun 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.