| Sumter Podiatry Services Pa | |
|
2620 Hardee Cv, Sumter, SC 29150-1893 | |
| (803) 469-9255 | |
| (803) 469-9253 |
| Full Name | Sumter Podiatry Services Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 2620 Hardee Cv, Sumter, 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 |
|---|---|---|---|
| 1861520157 | NPI | - | NPPES |
| GP9925 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | PDO886 (South Carolina) | Primary |
| Provider Name | Emanuel Willis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255392064 PECOS PAC ID: 8527044759 Enrollment ID: I20100812000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Sumter Podiatry Services Pa Po Box 1485, Sumter, SC 29151-1485 Ph: (803) 469-9255 | Sumter Podiatry Services Pa 2620 Hardee Cv, Sumter, SC 29150-1893 Ph: (803) 469-9255 |
James B Cahill Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 689 N Guignard Dr, Sumter, SC 29150 Phone: 803-775-5550 | |
Dr. Emanuel Willis, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2630a Hardee Cv, Sumter, SC 29150 Phone: 803-469-9255 Fax: 803-469-9253 | |
Dr. Diane Ngamia Awa, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 6 Barnette Dr, Sumter, SC 29150 Phone: 803-773-7000 | |
Dr. James B Cahill, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 689 N Guignard Dr, Sumter, SC 29150 Phone: 803-775-5550 Fax: 803-773-9516 |