Healthcare Provider Details

I. General information

NPI: 1720228661
Provider Name (Legal Business Name): NICHOLAS A STRANEY DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2009
Last Update Date: 03/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 SAINT ANDREWS BLVD
CHARLESTON SC
29407-7140
US

IV. Provider business mailing address

701 SAINT ANDREWS BLVD
CHARLESTON SC
29407-7140
US

V. Phone/Fax

Practice location:
  • Phone: 843-571-3777
  • Fax: 843-763-0285
Mailing address:
  • Phone: 843-571-3777
  • Fax: 843-763-0285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPD043
License Number StateSC

VIII. Authorized Official

Name: NICHOLAS A STRANEY
Title or Position: SOLE PROPIETOR
Credential: DPM
Phone: 843-571-3777