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Contact Information

CHARLESTON PODIATRY PA
60 MARKFIELD DR
STE 3
CHARLESTON, SC29407-7907
 Phone: 843-571-0602
 Fax: 843-571-0605
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHARLESTON PODIATRY PA

NPI # 1760531495
LBN Legal business name CHARLESTON PODIATRY PA
Authorized official STUART TESSLER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2007
Last updated 04/10/2008 - About 18 years ago
Identifiers
SC License # 139
SC Medicaid GP9941
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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