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Organization
PALMETTO PODIATRY GROUP OF ANDERSON, PA
Active
Organization
PALMETTO PODIATRY GROUP OF ANDERSON, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIYA BOYCE (REGIONAL CREDENTIALING SPEICIALIST)
(301) 933-7133
Entity
Organization
Contact information
Practice address
430 S HERLONG AVE, SUITE 105, ROCK HILL, SC 29732-9446
(803) 327-2217
(803) 327-2272
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(803) 327-2217
(803) 327-2272
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9957
—
SC
Enumeration date
06/12/2006
Last updated
02/26/2025
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