NPI 1225455835

South Carolina Podiatric Physicians and Surgeons Group,llc

Organisation Podiatrist Conway, SC

Practice location

Address: 8020 Myrtle Trace Dr, Conway, SC 29526-8945
Phone: (843) 234-9100
Fax: (843) 234-9103
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)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

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: 1225455835
Entity type: Organization
NPI issued: 20 Mar 2014
Record last updated: 20 Mar 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.