Organization
DANIEL AB METHUSELAH DPM LLC
Active
Other names
Carolina Podiatric Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL AB METHUSELAH M.D. (OWNER/ PHYSICIAN)
(803) 781-3500
Entity
Organization
Contact information
Practice address
7182 WOODROW ST STE 105, IRMO, SC 29063-2832
(803) 781-3500
(803) 781-2924
Mailing address
7182 WOODROW ST STE 105, IRMO, SC 29063-2832
(803) 781-3500
(803) 781-2924
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
517
SC
332B00000X
Durable Medical Equipment & Medical Supplies
517
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480027811
RAILROAD MEDICARE
SC
Enumeration date
02/22/2008
Last updated
08/12/2019
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