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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

NPI # 1356598593
LBN Legal business name PROVIDENCE FOOT & ANKLE CENTERS PC
Authorized official ADRIENNE ATKINSON-SNEED - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/19/2008
Last updated 01/31/2013 - About 13 years ago
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
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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