Foot Clinic Of South Carolina, Llc

NPI 1861538969 - Podiatrist - 213ES0131X

NPI Details
NPI 1861538969
Enumeration Date 01/29/2007
Last Updated 01/31/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRADLEY ALLEN BRADLEY
Position OWNER
Phone (864) 281-9171
Fax (978) 327-7938
Practice Location
211 E BUTLER RD
SUITE A2
MAULDIN SC, 29662-2169, US
Phone (864) 281-9171
Fax (978) 327-7938
Business Location
211 E BUTLER RD
SUITE A-2
MAULDIN SC, 29662-2169, US
Phone (864) 281-9171
Fax (864) 281-9170
Toxanomy
Taxonomy Code 213ES0131X
License State South Carolina
License Number 555
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According to our database, Foot Clinic Of South Carolina, Llc NPI is 1861538969, taxonomy code is 213ES0131X and license number is 555, license state is located at South Carolina. Foot Clinic Of South Carolina, Llc physically located at 211 E Butler Rd, Mauldin SC, 29662-2169. NPI Number 1033115704 has the healthcare provider type.

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1861538969 NPI number is provided on an as is basis without warranty of any kind. 1861538969 is maintained by the National Plan & Provider Enumeration System. The contents of Foot Clinic Of South Carolina, Llc are for informational purposes only.