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Contact Information

EAST COOPER PODIATRY, P.A.
389 JOHNNIE DODDS BLVD
SUITE 100
MOUNT PLEASANT, SC29464-2950
 Phone: 843-881-3668
 Fax: 843-881-9191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EAST COOPER PODIATRY, P.A.

NPI Number 1124044201
LBN Legal business name EAST COOPER PODIATRY, P.A.
Authorized official THOMAS WOODS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2006
Last updated 04/17/2008 - About 18 years ago
Identifiers
SC License # 127
SC Medicaid PD1279
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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