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Contact Information

UPSTATE PODIATRY GROUP, PA
801 SE MAIN ST
SIMPSONVILLE, SC29681
 Phone: 864-399-9070
 Fax: 864-399-9664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for UPSTATE PODIATRY GROUP PA · (Female)

NPI Number 1144660036
Status Active
Credentials
Entity Individual
Enumeration date 06/25/2013
Last updated 04/08/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 617
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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