Organization
TOTAL FOOT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KESHIA ELAINE OLIVER D.P.M. (PODIATRIST)
(917) 445-5158
Entity
Organization
Contact information
Practice address
104 TRADITIONS CIR, COLUMBIA, SC 29229-8050
(888) 548-2388
(800) 230-8028
Mailing address
104 TRADITIONS CIR, COLUMBIA, SC 29229-8050
(888) 548-2388
(800) 230-8028
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
581
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9904
—
SC
Enumeration date
02/03/2009
Last updated
11/12/2010
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