SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
NPI 1922424423
Podiatrist in Conway, SC

Active since March 09, 2014
166 WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526(843) 449-8079(843) 497-6147 Get Directions Write a Review

NPPES record last updated: March 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Carolina Podiatric Physicians And Surgeons Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC (NPI 1922424423) is a healthcare organization registered as a podiatrist in Conway, South Carolina and active in the NPI registry since March 2014. The organization lists Brandon Percival, President, as its authorized official.

NPPES Registry Identity

NPI1922424423
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Location Address166 WACCAMAW MEDICAL PARK CTConway, SC 29526-8965
Mailing Address8141 Rourk StMyrtle Beach, SC 29572-4128 · (843) 449-8079 · Fax (843) 497-6147
Fax(843) 497-6147
Organization SubpartNo
Authorized OfficialBrandon PercivalPresident · (803) 285-1411
Enumeration DateMarch 9, 2014
NPI 1922424423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
166 WACCAMAW MEDICAL PARK CT, Conway, SC 29526

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
166 WACCAMAW MEDICAL PARK CT
CONWAY, SC 29526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Carolina Podiatric Physicians And Surgeons Group, LLC's NPI number?

The NPI number for South Carolina Podiatric Physicians And Surgeons Group, LLC is 1922424423. It was assigned to this organization in the NPPES registry on March 9, 2014.

Where is South Carolina Podiatric Physicians And Surgeons Group, LLC located?

South Carolina Podiatric Physicians And Surgeons Group, LLC is located at 166 Waccamaw Medical Park Ct, Conway, SC 29526. The listed phone number is (843) 449-8079.

What is South Carolina Podiatric Physicians And Surgeons Group, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for South Carolina Podiatric Physicians And Surgeons Group, LLC was last updated on March 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.