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Contact Information

PALMETTO PODIATRY ASSOCIATES LLC
1730 HENDERSON STREET
SUITE B
COLUMBIA, SC29201
 Phone: 803-376-1717
 Fax: 803-376-1716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot

213ES0131X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PALMETTO PODIATRY ASSOCIATES LLC

NPI # 1295788354
LBN Legal business name PALMETTO PODIATRY ASSOCIATES LLC
Authorized official JOSEPH MORAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2006
Last updated 12/12/2012 - About 13 years ago
Identifiers
SC License # 00151
SC Medicaid PD1517
SC Other 480027837 RETIRED RAILROAD MEDICARE
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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