OrganizationActive
South Carolina Podiatric Physicians and Surgeons Group, LLC
NPI 1063834646 · Primary Podiatric Medicine Podiatrist · Lancaster, SC
Provider details
- NPI number
- 1063834646
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Brandon Percival, President(803) 285-1411
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
- Foot Surgery Podiatrist213ES0131X
Podiatric Medicine & Surgery Service Providers
Practice location
1190 Highway 9 Byp W
Lancaster, SC 29720-1709
Phone: (803) 285-1411
Fax: (803) 283-9920
Approximate (ZIP-level) locationGet directions
Mailing address
8141 Rourk St
Myrtle Beach, SC 29572-4128
Registry dates
- Enumerated
- 2014-01-15
- Last updated
- 2014-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.