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Organization
CAMDEN FOOT CLINIC
Active
Organization
CAMDEN FOOT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ARTHUR BURNELL DPM (OWNER)
(803) 669-2709
Entity
Organization
Contact information
Practice address
133 SPARKLEBERRY LN, CAMDEN, SC 29020-9197
(803) 669-2709
(803) 713-1310
Mailing address
133 SPARKLEBERRY LN, CAMDEN, SC 29020-9197
(803) 669-2709
(803) 713-1310
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
547
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480031163
MEDICARE RAILROAD PIN
SC
05
—
PD5473
—
SC
Enumeration date
10/13/2006
Last updated
04/29/2011
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