| Camden Foot Clinic | |
|
133 Sparkleberry Ln, Camden, SC 29020-9197 | |
| (803) 669-2709 | |
| (803) 713-1310 |
| Full Name | Camden Foot Clinic |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 133 Sparkleberry Ln, Camden, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255421988 | NPI | - | NPPES |
| 480031163 | Other | SC | MEDICARE RAILROAD PIN |
| PD5473 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 547 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Camden Foot Clinic 133 Sparkleberry Ln, Camden, SC 29020-9197 Ph: (803) 669-2709 | Camden Foot Clinic 133 Sparkleberry Ln, Camden, SC 29020-9197 Ph: (803) 669-2709 |
Dr. Jonathan Braun Ksor, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2502 Broad St, Camden, SC 29020 Phone: 803-425-5510 Fax: 803-432-4776 | |
John Ksor, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2502 Broad St, Camden, SC 29020 Phone: 803-425-5510 | |
Dr. Richard A Burnell, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 133 Sparkleberry Ln, Camden, SC 29020 Phone: 803-669-2709 Fax: 803-713-1310 |