# UPSTATE PODIATRY GROUP, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UPSTATE PODIATRY GROUP, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609415751
- **Legal business name:** UPSTATE PODIATRY GROUP, PA
- **Authorized official:** STEPHANIE THOMAS (CFO)
- **Authorized official phone:** (864) 399-9070

## Contact information

- **Practice address:** 105 MIMOSA DR, GREER, SC 29650-1737
- **Practice address phone:** (864) 399-9070
- **Mailing address:** 801 SE MAIN ST, SIMPSONVILLE, SC 29681-7150
- **Mailing address phone:** (864) 399-9070

## Taxonomy

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

## Other

- **Enumeration date:** 01/06/2020
- **Last updated:** 01/06/2020