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Contact Information

PALMETTO FOOT CLINIC
841 ROBERTSON BLVD
WALTERBORO, SC29488-3082
 Phone: 843-549-1800
 Fax: 843-549-1818
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PALMETTO FOOT CLINIC · (Female)

NPI Number 1114180825
Status Active
Credentials
Entity Individual
Enumeration date 07/03/2008
Last updated 04/20/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 584
  • SC Medicaid GP9905
  • SC Other DO8910 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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