Individual
MR. BRANDON SCOT PERCIVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1190 HIGHWAY 9 BYP W, LANCASTER, SC 29720-1709
(803) 285-1411
(803) 283-9920
Mailing address
PO BOX 325, LANCASTER, SC 29721-0325
(803) 285-1411
(803) 283-9920
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
536
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480028265
RAILROAD MEDICARE
SC
05
—
PD5364
—
SC
Enumeration date
02/08/2006
Last updated
07/26/2022
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