Organization
CRUDDIE L. TORIAN, SR, DPM, PA
Active
Other names
NORTHEAST FAMILY PODIATRY, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRUDDIE L TORIAN SR. DPM (OWNER)
(803) 462-7040
Entity
Organization
Contact information
Practice address
131 WILDEWOOD PARK DR, COLUMBIA, SC 29223-4300
(803) 462-7040
(803) 462-7047
Mailing address
PO BOX 24587, COLUMBIA, SC 29224-4587
(803) 462-7040
(803) 462-7047
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
138
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD6289
RAILROAD MEDICARE
SC
05
—
GP9946
—
SC
Enumeration date
12/08/2006
Last updated
04/27/2015
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