| Coastal Carolina Podiatry Inc | |
| 
					299 Midland Pkwy # B, Summerville, SC 29485-8104  | |
| (843) 851-9069 | |
| (843) 871-8248 | 
| Full Name | Coastal Carolina Podiatry Inc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 299 Midland Pkwy # B, Summerville, South Carolina | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629282744 | NPI | - | NPPES | 
| DF0094 | Other | RR MEDICARE | |
| PD5561 | Medicaid | SC | |
| CM2497 | Other | SC | RAIL ROAD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0556 (South Carolina) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Coastal Carolina Podiatry Inc 299 Midland Pkwy # B, Summerville, SC 29485-8104 Ph: (843) 851-9069  | Coastal Carolina Podiatry Inc 299 Midland Pkwy # B, Summerville, SC 29485-8104 Ph: (843) 851-9069  | 
Dr. Kathryn Diana Wilson-horney, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4340 Ladson Rd, Suite C, Summerville, SC 29485 Phone: 843-851-9069  | |
William Hal Hatchett, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 299 Midland Pkwy # B, Summerville, SC 29485 Phone: 843-851-9069 Fax: 843-871-8248  | |
Roper Saint Francis Physicians Network Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 300 Callen Blvd Ste 330, Summerville, SC 29486 Phone: 843-763-2857 Fax: 843-606-8053  | |
Roper Saint Francis Physicians Network Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 102 W 8th North St Ste B, Summerville, SC 29483 Phone: 844-975-6683 Fax: 843-606-8056  | |
Dr. Vito Speciale, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 299 Midland Pkwy, B, Summerville, SC 29485 Phone: 843-851-9069 Fax: 843-871-8248  | |
Dr. Shannon Mcavoy Carmignani, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 208 E 2nd North St, Summerville, SC 29483 Phone: 843-904-5061  |