Healthcare Provider Details

I. General information

NPI: 1689609299
Provider Name (Legal Business Name): CAROLINA FOOT & ANKLE SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1483 TOBIAS GADSON BLVD STE 107B
CHARLESTON SC
29407-4795
US

IV. Provider business mailing address

1483 TOBIAS GADSON BLVD STE 107B
CHARLESTON SC
29407-4795
US

V. Phone/Fax

Practice location:
  • Phone: 843-225-5575
  • Fax: 843-326-4943
Mailing address:
  • Phone: 843-225-5575
  • Fax: 843-326-4943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number545
License Number StateSC

VIII. Authorized Official

Name: ADAM C BROWN
Title or Position: OWNER
Credential: DPM
Phone: 843-225-5575