| Carolina Podiatry Group, Inc. | |
|
1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | |
| (803) 285-1411 | |
| (803) 283-9920 |
| Full Name | Carolina Podiatry Group, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1190 Highway 9 Byp W, Lancaster, 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 |
|---|---|---|---|
| 1427093954 | NPI | - | NPPES |
| GP9959 | Medicaid | SC | |
| PD5364 | Medicaid | SC | |
| PD5408 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | William Harris |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013103100 PECOS PAC ID: 6608046842 Enrollment ID: I20130219000191 |
| Provider Name | Kinjal Mahesh Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629323175 PECOS PAC ID: 9032428990 Enrollment ID: I20180406001687 |
| Provider Name | Katlin O'hara Jackson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437503422 PECOS PAC ID: 0345533535 Enrollment ID: I20210422001213 |
| Provider Name | Robert Ezewuiro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134571334 PECOS PAC ID: 2668702192 Enrollment ID: I20230124000581 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Podiatry Group, Inc. Po Box 325, Lancaster, SC 29721-0325 Ph: (803) 285-1411 | Carolina Podiatry Group, Inc. 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 Ph: (803) 285-1411 |
Dr. William Harris Iv, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1190 Highway 9 Byp W, Lancaster, SC 29720 Phone: 803-804-5964 Fax: 803-283-9920 | |
South Carolina Podiatric Physicians And Surgeons Group, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1190 Highway 9 Byp W, Lancaster, SC 29720 Phone: 803-285-1411 Fax: 803-283-9920 | |
Instride Foot And Ankle Specialists, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 1190 Highway 9 Byp W, Lancaster, SC 29720 Phone: 803-285-1411 | |
Mrs. Julie Welsh Percival, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 1190 Highway 9 Byp W, Lancaster, SC 29720 Phone: 803-285-1411 Fax: 803-283-9920 | |
Robert Ezewuiro, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1190 Highway 9 Byp W, Lancaster, SC 29720 Phone: 803-285-1411 | |
Katlin Ann O'hara, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1190 Highway 9 Byp W, Lancaster, SC 29720 Phone: 803-285-1411 |