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Organization
DANIEL AB METHUSELAH DPM LLC
Active
Organization
DANIEL AB METHUSELAH DPM LLC
Active
Other names
Carolina Podiatric Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL AB METHUSELAH M.D. (OWNER/ PHYSICIAN)
(803) 781-3500
Entity
Organization
Contact information
Practice address
7182 WOODROW ST STE 105, IRMO, SC 29063-2832
(803) 781-3500
(803) 781-2924
Mailing address
7182 WOODROW ST STE 105, IRMO, SC 29063-2832
(803) 781-3500
(803) 781-2924
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
517
SC
332B00000X
Durable Medical Equipment & Medical Supplies
517
SC
Other
Enumeration date
02/22/2008
Last updated
08/12/2019
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