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General NPI Number Information
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NPI Number | 1487889200
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Entity Type | Organization
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Legal Business Name | CAROLINA FOOT & ANKLE SPECIALISTS, LLC
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 501 BRAMSON CT UNIT 301
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City | MT PLEASANT
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State | SC
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Zip | 29464-7953
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Country | US
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Telephone | 843-225-5575
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Fax | 843-225-5515
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Provider Business Mailing Address
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Address Line | 501 BRAMSON CT UNIT 301
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City | MT PLEASANT
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State | SC
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Zip | 29464-7953
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Country | US
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Telephone | 843-654-8250
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Fax | 843-654-8253
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Authorized Official
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Title or Position | PODIATRIST/CEO
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Name | DR. ADAM CRAIG BROWN
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Credential | DPM
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Telephone | 843-225-5575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 550
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License Number State | SC
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