| 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 | |
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 |