Organization
COLUMBIA FOOT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH E PAYNE DPM (DOCTOR ASSOCIATE)
(803) 254-6114
Entity
Organization
Contact information
Practice address
1516 CALHOUN ST, COLUMBIA, SC 29201-2607
(803) 254-6114
(803) 254-7674
Mailing address
1516 CALHOUNS STREET, COLUMBIA, SC 29201
(803) 254-6114
(803) 254-7674
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA1168
—
SC
Enumeration date
08/24/2006
Last updated
05/27/2008
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