Conway Podiatry Center Pc

LBN: Conway Podiatry Center Pc
Conway Podiatry Center Pc is an health care organization with primary practice located at 8020 Myrtle Trace Dr , Conway SC 29526-8945. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Conway Podiatry Center Pc can be contacted via phone (843) 236-7170, or through Parker, William L via phone (843) 236-7170.

Contact Information

Primary practice address
8020 Myrtle Trace Dr Conway SC 29526-8945
Phone: (843) 236-7170
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parker, William L Doctor of Podiatric Medicine (DPM)
Phone: (843) 236-7170

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 568 South Carolina

Profile Details

NPI number 1093794166
LBN Legal business name Conway Podiatry Center Pc
DBA Doing business as
Authorized official Parker, William L Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2006
Last updated Aug 20th, 2010 - about 14 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 1093794166 NPPES
South Carolina MEDICAID PD5684

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