Organization
MYERS PODIATRY CLINIC
Active
Parent organization
MYERS PODIATRY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYERS PODIATRY CLINIC
Authorized official
DR. WILLIAM CHARLES MYERS JR. DPM (OWNER)
(843) 431-2780
Entity
Organization
Contact information
Practice address
2845 E HIGHWAY 76, MEDICAL PARK 2, STE 1, MULLINS, SC 29574-6037
(843) 431-2780
Mailing address
2845 E HIGHWAY 76, MEDICAL PARK 2, STE 1, MULLINS, SC 29574-6037
(843) 431-2780
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC 531
SC
332B00000X
Durable Medical Equipment & Medical Supplies
SC 531
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9923
—
SC
Enumeration date
11/30/2006
Last updated
04/21/2008
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