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Organization
ADVANCED CARE FOOT AND ANKLE LLC
Active
Organization
ADVANCED CARE FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH JAMES DONOVAN (OWNER-PHYSICIAN)
(732) 814-7029
Entity
Organization
Contact information
Practice address
930 FOLLY RD STE D, CHARLESTON, SC 29412-3938
(843) 606-0019
(843) 604-0566
Mailing address
930 FOLLY RD STE D, CHARLESTON, SC 29412-3938
(843) 606-0019
(843) 604-0566
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
10/24/2022
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