Organization
PALMETTO PODIATRY GROUP OF ANDERSON, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LEON ROSE DPM (DPM/OWNER)
(864) 231-6395
Entity
Organization
Contact information
Practice address
105 BEN CASEY DR, SUITE 133, FORT MILL, SC 29708-8561
(803) 396-8670
(803) 396-8657
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(803) 396-8670
(803) 396-8657
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9957
—
SC
Enumeration date
03/03/2008
Last updated
02/26/2025
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