Organization
PALMETTO PODIATRY GROUP OF ANDERSON, PA
Active
Parent organization
PALMETTO PODIATRY GROUP OF ANDERSON PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO PODIATRY GROUP OF ANDERSON PA
Authorized official
KIYA BOYCE (REGIONAL CREDENTIALING SPEICIALIST)
(301) 933-7133
Entity
Organization
Contact information
Practice address
430 HERLONG AVE S, ROCK HILL, SC 29732-9446
(803) 327-2217
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/21/2025
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