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Contact Information

ANDERSON FOOT CLINIC
408 MARSHALL AVE
ANDERSON, SC29621
 Phone: 864-224-1836
 Fax: 864-224-1802
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ANDERSON FOOT CLINIC

NPI Number 1942387865
LBN Legal business name ANDERSON FOOT CLINIC
Authorized official ANNA GILLIAM - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC License # 065
SC Medicaid DE1962
SC Medicaid GP9991
Other 20043215 SELECT HEALTH
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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