Individual
DR. PAUL RICHARD BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
121 PARK PLACE CT, LEXINGTON, SC 29072-6690
(803) 356-4712
(803) 356-0832
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
213ER0200X
Radiology Podiatrist
130
SC
213ES0131X
Foot Surgery Podiatrist
Primary
130
SC
Other
Enumeration date
04/03/2006
Last updated
10/13/2020
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