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Organization
CAROLINA PODIATRY GROUP, INC.
Active
Organization
CAROLINA PODIATRY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON SCOT PERCIVAL (OWNER)
(803) 285-1411
Entity
Organization
Contact information
Practice address
1538 HEALTH CARE DR, ROCK HILL, SC 29732-3857
(803) 285-1411
Mailing address
PO BOX 325, LANCASTER, SC 29721-0325
(803) 285-1411
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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