Organization
PALMETTO PODIATRY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH J MORAN DPM (OWNER)
(803) 376-1717
Entity
Organization
Contact information
Practice address
1730 HENDERSON STREET, SUITE B, COLUMBIA, SC 29201
(803) 376-1717
(803) 376-1716
Mailing address
1730 HENDERSON STREET, SUITE B, COLUMBIA, SC 29201
(803) 376-1717
(803) 376-1716
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00151
SC
213ES0131X
Foot Surgery Podiatrist
Primary
00151
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480027837
RETIRED RAILROAD MEDICARE
SC
05
—
PD1517
—
SC
Enumeration date
05/18/2006
Last updated
12/12/2012
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