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Contact Information

PROVIDENCE FOOT & ANKLE CENTERS PC
1110 MARSHALL RD
WELLNESS CENTER
GREENWOOD, SC29646-4216
 Phone: 866-896-3338
 Fax: 770-790-4752
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PROVIDENCE FOOT ANKLE CENTERS PC · (Female)

NPI # 1356598593
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2008
Last updated 01/31/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Other PENDING DME (PALMETTO GBA NSC) GROUP PTAN
  • SC Other 9277 MEDICARE GROUP PTAN FOR SC (PALMETTO GBA)
  • SC Other DQ9090 MEDICARE RR (PALMETTO GBA) SC
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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