OrganizationActive
Carolina Podiatry Group, Inc.
NPI 1962332163 · Podiatrist · Indian Land, SC
Provider details
- NPI number
- 1962332163
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Brandon Percival, Owner(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
6237 Carolina Commons Dr Ste 310
Indian Land, SC 29707-6071
Phone: (803) 285-1411
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 325
Lancaster, SC 29721-0325
Registry dates
- Enumerated
- 2026-05-20
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.