Organization
SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP,LLC
Active
Other names
Piedmont Podiatry Assoc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON PERCIVAL D.P.M. (PRESIDENT)
(803) 285-1411
Entity
Organization
Contact information
Practice address
700 NORTH A STREET, EASLEY, SC 29640
(864) 232-3668
(864) 271-0526
Mailing address
8141 ROURK STREET, MYRTLE BEACH, SC 29572
(803) 285-1411
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
SC
Other
Enumeration date
02/26/2014
Last updated
06/24/2014
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