Organization
CAROLINA PODIATRY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON SCOT PERCIVAL DPM (OWNER)
(803) 285-1411
Entity
Organization
Contact information
Practice address
1190 HIGHWAY 9 BYP W, LANCASTER, SC 29720-1709
(803) 285-1411
(803) 283-9920
Mailing address
PO BOX 325, LANCASTER, SC 29721-0325
(803) 285-1411
(803) 283-9920
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1510
—
SC
Enumeration date
01/24/2008
Last updated
05/20/2026
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