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Organization

PALMETTO PODIATRY GROUP OF ANDERSON, PA

Active
Parent organization
PALMETTO PODIATRY GROUP OF ANDERSON PA
Other names
Alpine Podiatry Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PALMETTO PODIATRY GROUP OF ANDERSON PA
Authorized official
KIYA BOYCE (REGIONAL CREDENTIALING SPECIALIST)
(704) 897-2261
Entity
Organization

Contact information

Practice address
105 BEN CASEY DR, FORT MILL, SC 29708-8561
(803) 396-8670
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
02/14/2025
Last updated
02/14/2025
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