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Organization
PALMETTO FOOT CLINIC
Active
Organization
PALMETTO FOOT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE A SIMS DPM (PHYSICIAN/OWNER)
(843) 549-1800
Entity
Organization
Contact information
Practice address
841 ROBERTSON BLVD, WALTERBORO, SC 29488-3082
(843) 549-1800
(843) 549-1818
Mailing address
841 ROBERTSON BLVD, WALTERBORO, SC 29488-3082
(843) 549-1800
(843) 549-1818
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
584
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO8910
RAILROAD MEDICARE
SC
05
—
GP9905
—
SC
Enumeration date
07/03/2008
Last updated
04/20/2023
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