Healthcare Provider Details

I. General information

NPI: 1750951406
Provider Name (Legal Business Name): WILLMAN STEVE PEARCEY JR. DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2021
Last Update Date: 07/07/2024
Certification Date: 07/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1190 HIGHWAY 9 BYP W
LANCASTER SC
29720
US

IV. Provider business mailing address

1190 HIGHWAY 9 BYP W
LANCASTER SC
29720-1709
US

V. Phone/Fax

Practice location:
  • Phone: 803-285-1411
  • Fax: 803-283-9920
Mailing address:
  • Phone: 720-233-1727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number850
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number771
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC007170
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: