Organization
PALMETTO PODIATRY GROUP OF ANDERSON, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L ROSE DPM (PRESIDENT)
(864) 231-6395
Entity
Organization
Contact information
Practice address
2126 - B HWY 81 NORTH, ANDERSON, SC 29621-4819
(864) 231-6395
(864) 231-6520
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(864) 231-6395
(864) 231-6520
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
451213001
MEDICARE DME
SC
01
—
CJ8533
MEDICARE RAILROAD
SC
05
—
GP9935
—
SC
Enumeration date
09/16/2006
Last updated
02/26/2025
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