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Organization
THE FOOT INSTITUTE, LLC
Active
Organization
THE FOOT INSTITUTE, LLC
Active
Other names
Physicians Footcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR IDLIBI PATHOLOGIST (PROVIDER)
(803) 256-6776
Entity
Organization
Contact information
Practice address
1608 WESTMINSTER DR, COLUMBIA, SC 29204-2018
(803) 256-6776
Mailing address
1608 WESTMINSTER DR, COLUMBIA, SC 29204-2018
(803) 256-6776
(704) 716-7803
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
—
NULL
207ZM0300X
Medical Microbiology Physician
—
—
207ZP0101X
Anatomic Pathology Physician
—
NULL
207ZP0101X
Anatomic Pathology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
04/20/2026
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