SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC

MULLINS, SC
NPI1982029799
Entity TypeOrganization
Authorized ContactBRANDON PERCIVAL
President
803-285-1411
Organization Subpart ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: SC  531)
Enumeration Date2014-03-03
Last Update Date2014-03-03
Business Address
SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
2845 E HIGHWAY 76 MEDICAL PARK 2 STE 1
MULLINS, SC 29574-6037
Phone number: 843-431-2780
Mailing Address
SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
8141 ROURK ST
MYRTLE BEACH, SC 29572-4128
Phone number: