Organization
PALMETTO PODIATRY GROUP OF ANDERSON, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIYA BOYCE (REGIONAL CREDENTIALING SPEICIALIST)
(301) 933-7133
Entity
Organization
Contact information
Practice address
430 S HERLONG AVE, SUITE 105, ROCK HILL, SC 29732-9446
(803) 327-2217
(803) 327-2272
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(803) 327-2217
(803) 327-2272
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9957
—
SC
Enumeration date
06/12/2006
Last updated
02/26/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us