| Pee Dee Foot Center, Pa | |
|
402 Nelson Blvd, Suite 300, Kingstree, SC 29556-4058 | |
| (843) 355-9690 | |
| (843) 355-9777 |
| Full Name | Pee Dee Foot Center, Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 402 Nelson Blvd, Kingstree, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518048404 | NPI | - | NPPES |
| CF8526 | Other | SC | RAILROAD MEDICARE |
| DE1502 | Other | SC | MEDICAID DME |
| GP9963 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 527 (South Carolina) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 532 (South Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Pee Dee Foot Center, Pa 402 Nelson Blvd, Suite 300, Kingstree, SC 29556-4058 Ph: (843) 355-9690 | Pee Dee Foot Center, Pa 402 Nelson Blvd, Suite 300, Kingstree, SC 29556-4058 Ph: (843) 355-9690 |
Dr. Michelle L. Butterworth, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 500 Thurgood Marshall Hwy Ste B, Kingstree, SC 29556 Phone: 843-355-0255 Fax: 843-355-0259 | |
Williamsburg Foot Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 500 Thurgood Marshall Hwy, Suite B, Kingstree, SC 29556 Phone: 843-355-5363 Fax: 843-355-5365 |