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Contact Information

CAROLINA PODIATRY GROUP, INC.
1190 HIGHWAY 9 BYP W
LANCASTER, SC29720-1709
 Phone: 803-285-1411
 Fax: 803-283-9920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CAROLINA PODIATRY GROUP, INC.

NPI # 1427093954
LBN Legal business name CAROLINA PODIATRY GROUP, INC.
Authorized official BRANDON PERCIVAL - (OWNER PODIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2006
Last updated 05/20/2026 - About 2 weeks ago
Identifiers
SC Medicaid GP9959
SC Medicaid PD5364
SC Medicaid PD5408
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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