# CAMDEN FOOT CLINIC

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

## Provider details

- **NPI number:** 1255421988
- **Authorized official:** DR. RICHARD ARTHUR BURNELL DPM (OWNER)
- **Authorized official phone:** (803) 669-2709

## Contact information

- **Practice address:** 133 SPARKLEBERRY LN, CAMDEN, SC 29020-9197
- **Practice address phone:** (803) 669-2709
- **Practice address fax:** (803) 713-1310
- **Mailing address:** 133 SPARKLEBERRY LN, CAMDEN, SC 29020-9197
- **Mailing address phone:** (803) 669-2709
- **Mailing address fax:** (803) 713-1310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 547 | SC | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 04/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 480031163 | MEDICARE RAILROAD PIN | SC |
| 05 | — | PD5473 | — | SC |