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Organization
CAROLINA PODIATRY
Active
Organization
CAROLINA PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY P MUHA D.P.M (CEO)
(843) 413-3100
Entity
Organization
Contact information
Practice address
506 E CHEVES ST, FLORENCE, SC 29506-2616
(843) 413-3100
(843) 413-3197
Mailing address
506 EAST CHEVES ST, P. O. BOX 1905, FLORENCE, SC 29503-1905
(843) 413-3100
(843) 413-3197
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890805H
—
NC
05
—
PC0968
—
SC
Enumeration date
05/17/2006
Last updated
10/27/2010
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