# ADVANCED CARE FOOT AND ANKLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255085072
- **Authorized official:** KENNETH JAMES DONOVAN (OWNER-PHYSICIAN)
- **Authorized official phone:** (732) 814-7029

## Contact information

- **Practice address:** 930 FOLLY RD STE D, CHARLESTON, SC 29412-3938
- **Practice address phone:** (843) 606-0019
- **Practice address fax:** (843) 604-0566
- **Mailing address:** 930 FOLLY RD STE D, CHARLESTON, SC 29412-3938
- **Mailing address phone:** (843) 606-0019
- **Mailing address fax:** (843) 604-0566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2022
- **Last updated:** 10/24/2022