# DANIEL AB METHUSELAH DPM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carolina Podiatric Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659540771
- **Authorized official:** DR. DANIEL AB METHUSELAH M.D. (OWNER/ PHYSICIAN)
- **Authorized official phone:** (803) 781-3500

## Contact information

- **Practice address:** 7182 WOODROW ST STE 105, IRMO, SC 29063-2832
- **Practice address phone:** (803) 781-3500
- **Practice address fax:** (803) 781-2924
- **Mailing address:** 7182 WOODROW ST STE 105, IRMO, SC 29063-2832
- **Mailing address phone:** (803) 781-3500
- **Mailing address fax:** (803) 781-2924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 517 | SC | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 517 | SC | — |

## Other

- **Enumeration date:** 02/22/2008
- **Last updated:** 08/12/2019