GENESIS FOOT & LEG SPECIALISTS, LLC; NPI #1952727992

Contact Information

GENESIS FOOT & LEG SPECIALISTS, LLC

21563 WYHTE HARDEE BLVD
HARDEEVILLE, SC 29927

Phone: 912-777-6519
Fax: 912-777-6584
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for GENESIS FOOT & LEG SPECIALISTS, LLC

NPI # 1952727992

LBN Legal business name GENESIS FOOT & LEG SPECIALISTS, LLC

Authorized official KIMBERLY DAVIS - (CREDENTIALING SPECIALISTS)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/14/2014

Last updated 03/14/2014 - About 12 years ago

Identifiers

SC	License #	625
SC	Medicaid	GPD625

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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GENESIS FOOT & LEG SPECIALISTS, LLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for GENESIS FOOT & LEG SPECIALISTS, LLC

Reviews for GENESIS FOOT & LEG SPECIALISTS, LLC