RICHARD GRAHAM C.PED
NPI 1689404766
Pedorthist in Columbia, SC
- Individual
- Male
- Pedorthist
About RICHARD GRAHAM
This page provides the complete NPI Profile along with additional information for Richard Graham, a provider established in Columbia, South Carolina with a medical specialization in Pedorthist. The healthcare provider is registered in the NPI registry with number 1689404766 assigned on August 2024. The practitioner's primary taxonomy code is 224L00000X with license number CPED0707 (SC). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1689404766 Verify this NPI
- Provider Name
- RICHARD GRAHAM C.PED
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1671 LAKE MURRAY BLVD COLUMBIA, SC 29212
- Location Phone
- (803) 269-3546
- Location Fax
- (803) 407-9195
- Mailing Address
- 1671 LAKE MURRAY BLVD COLUMBIA, SC 29212
- Mailing Phone
- (803) 269-3990
- Mailing Fax
- (803) 407-9195
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-05-2024
- Last Update Date
- 08-05-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pedorthist
- Taxonomy Code
- 224L00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- CPED0707
- License State
- SC
- Taxonomy Description
- An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
COLUMBIA, SC 29212
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689404766, enumerated as an "individual" on August 05, 2024.
The provider is located at 1671 LAKE MURRAY BLVD COLUMBIA, SC 29212 and the phone number is (803) 269-3546.
Pedorthist with taxonomy code 224L00000X.
