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Organization
PIEDMONT PODIATRY GROUP
Active
Organization
PIEDMONT PODIATRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HUNTER OLSON DPM (OWNER)
(803) 366-9440
Entity
Organization
Contact information
Practice address
724 ARDEN LN, SUITE 200, ROCK HILL, SC 29732-3257
(803) 366-9440
(803) 366-7704
Mailing address
724 ARDEN LN, SUITE 200, ROCK HILL, SC 29732-2996
(803) 366-9440
(803) 366-7704
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
604
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD6041
—
SC
Enumeration date
04/12/2007
Last updated
04/16/2010
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