Organization
SEACOAST PODIATRY ASSOCIATES PA
Active
Organization
SEACOAST PODIATRY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY JAMES KEEFER DPM (PARTNER)
(843) 390-1333
Entity
Organization
Contact information
Practice address
3700 SAWTELL RD, LITTLE RIVER, SC 29566-7873
(843) 390-1333
(843) 390-1633
Mailing address
3700 SAWTELL RD, LITTLE RIVER, SC 29566-7873
(843) 390-1333
(843) 390-1633
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
539
SC
213ES0131X
Foot Surgery Podiatrist
546
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012TH
—
NC
05
—
GP9943
—
SC
Enumeration date
03/01/2007
Last updated
11/13/2010
Update your record
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