# PALMETTO PODIATRY GROUP OF ANDERSON, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PALMETTO PODIATRY GROUP OF ANDERSON PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720883713
- **Legal business name:** PALMETTO PODIATRY GROUP OF ANDERSON PA
- **Authorized official:** KIYA BOYCE (REGIONAL CREDENTIALING SPEICIALIST)
- **Authorized official phone:** (301) 933-7133

## Contact information

- **Practice address:** 430 HERLONG AVE S, ROCK HILL, SC 29732-9446
- **Practice address phone:** (803) 327-2217
- **Mailing address:** PO BOX 825159, PHILADELPHIA, PA 19182-5159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2025
- **Last updated:** 02/21/2025