Northeast Family Podiatry, Pa

LBN: Cruddie L. Torian, Sr, Dpm, Pa
Northeast Family Podiatry, Pa is an health care organization with primary practice located at 131 Wildewood Park Dr , Columbia SC 29223-4300. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Cruddie L. Torian, Sr, Dpm, Pa can be contacted via phone (803) 462-7040, or through Torian, Cruddie L via phone (803) 462-7040.

Contact Information

Primary practice address
131 Wildewood Park Dr Columbia SC 29223-4300
Fax: (803) 462-7047
Website:
Authorized official contact:
Name: Torian, Cruddie L Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 138 South Carolina

Profile Details

NPI number 1801956222
LBN Legal business name Cruddie L. Torian, Sr, Dpm, Pa
DBA Doing business as Northeast Family Podiatry, Pa
Authorized official Torian, Cruddie L Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Apr 27th, 2015 - about 10 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 1801956222 NPPES
South Carolina MEDICAID GP9946
South Carolina Other DD6289

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