Organization
PHYSICIANS FOOTCARE ORANGEBURG LLC
Active
Other names
Carolina Foot Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN L. RAY DPM (DIRECTOR)
(803) 531-2888
Entity
Organization
Contact information
Practice address
718 BROUGHTON ST, ORANGEBURG, SC 29115
(803) 531-2888
(803) 531-2813
Mailing address
718 BROUGHTON ST, ORANGEBURG, SC 29115-6648
(803) 531-2888
(803) 531-2813
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
570
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF2229
RETIRED RAILROAD MEDICARE
SC
Enumeration date
08/07/2006
Last updated
01/15/2025
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