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Organization

LOWCOUNTRY PODIATRY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SEAN EDWARD VANMARTER DPM (PRESIDENT)
(843) 815-5092
Entity
Organization

Contact information

Practice address
55B SHERIDAN PARK CIR, BLUFFTON, SC 29910-6025
(843) 815-5092
(843) 815-5094
Mailing address
55B SHERIDAN PARK CIR, BLUFFTON, SC 29910-6025
(843) 815-5092
(843) 815-5094

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
511
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480028016
RAILROAD MEDICARE
SC
Enumeration date
02/07/2007
Last updated
12/10/2023
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