OrganizationActive
Island Podiatry PA
NPI 1467694430 · Podiatrist · Beaufort, SC
Provider details
- NPI number
- 1467694430
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Jill Blau, Managing Member(843) 379-9913
- License
- 591 (SC)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
3 Celadon Dr
Suite a
Beaufort, SC 29907-2695
Phone: (843) 379-9913
Fax: (843) 379-9914
Approximate (ZIP-level) locationGet directions
Mailing address
3 Celadon Dr
Beaufort, SC 29907-2695
Registry dates
- Enumerated
- 2009-04-06
- Last updated
- 2014-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.