<Unavail>

LBN: Mid-Carolina Podiatry, Inc.
<Unavail> is an health care organization with primary practice located at 1207 N Lake Dr , Lexington SC 29072-7647. The organization recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Customized Equipment is the primary health care specialty. Mid-Carolina Podiatry, Inc. can be contacted via phone (803) 359-5435, or through Bearden, Paul R via phone (803) 359-5435.

Contact Information

Primary practice address
1207 N Lake Dr Lexington SC 29072-7647
Phone: (803) 359-5435
Fax: (803) 359-4502
Website:
Map and Directions
Authorized official contact:
Name: Bearden, Paul R Doctor of Podiatric Medicine (DPM)
Phone: (803) 359-5435

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 00130 South Carolina
Suppliers / Customized Equipment 332BC3200X 00130 South Carolina
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 00130 South Carolina

Profile Details

NPI number 1457543589
LBN Legal business name Mid-Carolina Podiatry, Inc.
DBA Doing business as <Unavail>
Authorized official Bearden, Paul R Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2007
Last updated Apr 10th, 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 1457543589 NPPES
South Carolina Other 18003 DMERC-PAYOR NUMBER

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