Healthcare Provider Details

I. General information

NPI: 1487889200
Provider Name (Legal Business Name): CAROLINA FOOT & ANKLE SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2009
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 BRAMSON CT UNIT 301
MT PLEASANT SC
29464-7953
US

IV. Provider business mailing address

501 BRAMSON CT UNIT 301
MT PLEASANT SC
29464-7953
US

V. Phone/Fax

Practice location:
  • Phone: 843-225-5575
  • Fax: 843-225-5515
Mailing address:
  • Phone: 843-654-8250
  • Fax: 843-654-8253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number550
License Number StateSC

VIII. Authorized Official

Name: DR. ADAM CRAIG BROWN
Title or Position: PODIATRIST/CEO
Credential: DPM
Phone: 843-225-5575