# FOOT CLINIC OF SOUTH CAROLINA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foot Clinic of SC, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255756797
- **Authorized official:** BRADLEY LINDSTROM DPM (PRESIDENT)
- **Authorized official phone:** (864) 281-9171

## Contact information

- **Practice address:** 1035 MEDICAL RIDGE RD, CLINTON, SC 29325-4542
- **Practice address phone:** (864) 938-6984
- **Practice address fax:** (978) 327-7938
- **Mailing address:** 211 E BUTLER RD STE A2, MAULDIN, SC 29662-2170
- **Mailing address phone:** (864) 281-9171

## Taxonomy

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

## Other

- **Enumeration date:** 02/20/2014
- **Last updated:** 11/12/2015
