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Organization

PODIATRY ASSOCIATES PA LOW COUNTRY FOOT & ANKLE INSTITUTE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRENTON K STATLER DPM (INSURANCE OFFICER)
(843) 524-0232
Entity
Organization

Contact information

Practice address
1084 RIBAUT RD, STE A, BEAUFORT, SC 29902-5494
(843) 524-0232
(843) 524-3323
Mailing address
1084 RIBAUT RD STE A, BEAUFORT, SC 29902-5497
(843) 524-0232
(843) 524-3323

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
007222542
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0169920001
MEDICARE DME
05
PA4744
SC
Enumeration date
03/29/2007
Last updated
02/20/2026
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