Healthcare Provider Details

I. General information

NPI: 1568995504
Provider Name (Legal Business Name): TERRYN GILES D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2017
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 MEETING ST
WEST COLUMBIA SC
29169-7535
US

IV. Provider business mailing address

508 MEETING ST
WEST COLUMBIA SC
29169-7535
US

V. Phone/Fax

Practice location:
  • Phone: 727-796-6900
  • Fax:
Mailing address:
  • Phone: 240-893-9457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number702
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: