Organization
CAROLINA PODIATRY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON SCOT PERCIVAL (OWNER)
(803) 285-1411
Entity
Organization
Contact information
Practice address
13521 STEELECROFT PKWY STE B, CHARLOTTE, NC 28278-7889
(980) 219-8626
Mailing address
PO BOX 325, LANCASTER, SC 29721-0325
(803) 285-1411
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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