MEDICARE: SEACOAST PODIATRY ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	546	SC
2	213ES0131X	Foot Surgery Podiatrist	539	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790813566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEACOAST PODIATRY ASSOCIATES PA

Provider Business Mailing Address
First Line	:	3700 SAWTELL RD
Second Line	:
City	:	LITTLE RIVER
State	:	SC
Zip	:	29566-7873
Country	:	US
Telephone Number	:	843-390-1333
Fax Number	:	843-390-1633

Provider Business Practice Location Address
First Line	:	3700 SAWTELL RD
Second Line	:
City	:	LITTLE RIVER
State	:	SC
Zip	:	29566-7873
Country	:	US
Telephone Number	:	843-390-1333
Fax Number	:	843-390-1633

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. BRADLEY JAMES KEEFER
Credential	:	DPM
Telephone Number	:	843-390-1333

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	11/13/2010

Similar Medicare Providers

1629631650 — COASTAL HEARING CENTERS, INC
Practice Location Address:

3806 SAWTELL RD
LITTLE RIVER, SC
29566-7873

Practice Phone: 843-399-9950
Practice Fax:

1780683698 — DR. JASON L. DIAMOND O.D.
Practice Location Address:

3700 SAWTELL RD , SUITE B
LITTLE RIVER, SC
29566-7873

Practice Phone: 843-390-0058
Practice Fax: 843-390-9990

1184672974 — DR. BRADLEY JAMES KEEFER DPM
Practice Location Address:

3700 SAWTELL RD
LITTLE RIVER, SC
29566-7873

Practice Phone: 843-390-1333
Practice Fax: 843-390-1633

1194775429 — DR. MICHAEL D PETERS M.D.
Practice Location Address:

3806 SAWTELL RD
LITTLE RIVER, SC
29566-7873

Practice Phone: 843-663-9090
Practice Fax: 843-663-9091

1578697496 — COASTAL PODIATRY ASSOCIATES PA
Practice Location Address:

3700 SAWTELL RD
LITTLE RIVER, SC
29566-7873

Practice Phone: 843-449-8079
Practice Fax: 843-497-6147

1811154685 — DR. DEBORAH TYLER PH.D.
Practice Location Address:

3700 SAWTELL RD
LITTLE RIVER, SC
29566-7873

Practice Phone: 843-399-0724
Practice Fax: 843-399-8186

Directions to “SEACOAST PODIATRY ASSOCIATES PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.