| Carolina Podiatry Clinic Llc | |
|
2502 Broad St, Camden, SC 29020 | |
| (803) 425-5510 | |
| (803) 432-4776 |
| Full Name | Carolina Podiatry Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 2502 Broad St, Camden, 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 |
|---|---|---|---|
| 1932421385 | NPI | - | NPPES |
| GP9894 | Medicaid | SC | |
| DQ3852 | Other | SC | RR MEDICARE |
| Provider Name | John Ksor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346384971 PECOS PAC ID: 8123090305 Enrollment ID: I20040809000765 |
| Provider Name | Jonathan Braun Ksor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326254848 PECOS PAC ID: 6305746025 Enrollment ID: I20110816000549 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Podiatry Clinic Llc 2604 Broad St, Camden, SC 29020-2240 Ph: (803) 425-5510 | Carolina Podiatry Clinic Llc 2502 Broad St, Camden, SC 29020 Ph: (803) 425-5510 |
Camden Foot Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 133 Sparkleberry Ln, Camden, SC 29020 Phone: 803-669-2709 Fax: 803-713-1310 | |
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 |