Organization
INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON S PERCIVAL DPM (AUTHORIZED OFFICIAL)
(803) 285-1411
Entity
Organization
Contact information
Practice address
6237 CAROLINA COMMONS DR STE 310, INDIAN LAND, SC 29707-6071
(803) 548-3338
Mailing address
1190 HIGHWAY 9 BYP W, LANCASTER, SC 29720-1709
(803) 285-1411
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
10/21/2015
Last updated
06/16/2022
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