Palmetto Pedorthic Care

LBN: Michael R. Tambling
Palmetto Pedorthic Care is an health care organization with primary practice located at 1671 Lake Murray Blvd , Columbia SC 29212-8626. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Michael R. Tambling can be contacted via phone (803) 269-3990, or through Graham, Richard G via phone (803) 269-3990.

Contact Information

Primary practice address
1671 Lake Murray Blvd Columbia SC 29212-8626
Phone: (803) 269-3990
Fax: (803) 407-9195
Website:
Map and Directions
Authorized official contact:
Name: Graham, Richard G C.PED, O.S.T.
Phone: (803) 269-3990

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1396803409
LBN Legal business name Michael R. Tambling
DBA Doing business as Palmetto Pedorthic Care
Authorized official Graham, Richard G C.PED, O.S.T.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Dec 29th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396803409 NPPES
South Carolina MEDICAID DM1013
South Carolina Other C814

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