| Foot Clinic Of South Carolina, Llc | |
|
211 E Butler Rd, Suite A2, Mauldin, SC 29662-2169 | |
| (864) 281-9171 | |
| (978) 327-7938 |
| Full Name | Foot Clinic Of South Carolina, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 211 E Butler Rd, Mauldin, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861538969 | NPI | - | NPPES |
| 480033893 | Other | SC | RAILROAD MEDICARE |
| GP9936 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 555 (South Carolina) | Primary |
| Provider Name | Bradley A Lindstrom |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609850122 PECOS PAC ID: 4082507736 Enrollment ID: I20060119000099 |
| Provider Name | Jamelah P Lemon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679722912 PECOS PAC ID: 6103097811 Enrollment ID: I20110928000679 |
| Provider Name | Dylan Michael Carlisle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518426295 PECOS PAC ID: 8820325012 Enrollment ID: I20190812000036 |
| Provider Name | Breelyn Nicole Miles |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639664766 PECOS PAC ID: 2961811203 Enrollment ID: I20210517002314 |
| Mailing Address | Practice Location Address |
|---|---|
| Foot Clinic Of South Carolina, Llc 211 E Butler Rd, Suite A-2, Mauldin, SC 29662-2169 Ph: (864) 281-9171 | Foot Clinic Of South Carolina, Llc 211 E Butler Rd, Suite A2, Mauldin, SC 29662-2169 Ph: (864) 281-9171 |
Sara Borkosky, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5 Winchester Ct, Mauldin, SC 29662 Phone: 864-231-6395 Fax: 864-231-6520 | |
Oak Tree Podiatry, Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5 Winchester Ct, Mauldin, SC 29662 Phone: 864-934-8396 | |
Upstate Foot And Ankle Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5 Winchester Ct, Mauldin, SC 29662 Phone: 607-222-6633 | |
Dr. Torrin Charles Lundberg, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 211 E Butler Rd Ste A2, Mauldin, SC 29662 Phone: 864-281-9171 Fax: 978-327-7938 | |
Foot Clinic Of South Carolina, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 211 E Butler Rd, Suite A2, Mauldin, SC 29662 Phone: 864-281-9171 | |
Dylan Michael Carlisle, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 211 E Butler Rd, Mauldin, SC 29662 Phone: 864-281-9171 | |
Dr. Brad A. Lindstrom, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 211 E Butler Rd, Suite A-2, Mauldin, SC 29662 Phone: 864-281-9171 Fax: 864-281-9170 |