Carolina Podiatry Group, Inc.

LBN: Carolina Podiatry Group, Inc.
Carolina Podiatry Group, Inc. is an health care organization with primary practice located at 102 Hwy 321 Bypass North , Winnsboro SC 29180. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Carolina Podiatry Group, Inc. can be contacted via phone (800) 336-1279, or through Percival, Brandon S via phone (803) 285-1411.

Contact Information

Primary practice address
102 Hwy 321 Bypass North Winnsboro SC 29180
Fax: (803) 283-9920
Website:
Authorized official contact:
Name: Percival, Brandon S Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1427181023
LBN Legal business name Carolina Podiatry Group, Inc.
DBA Doing business as
Authorized official Percival, Brandon S Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Feb 28th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427181023 NPPES
South Carolina MEDICAID GP9980
South Carolina MEDICAID PD5408
South Carolina MEDICAID PD5364

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