UPSTATE PODIATRY GROUP, PA
Podiatry at Main St, Simpsonville, SC

License number
South Carolina 617
Category
Podiatry
Type
Podiatrist
Owner
Name: WILLIAM S LONG D.P.M.
Title: OWNER
Phone: (864) 399-9070
Address
Address
801 SE Main St, Simpsonville, SC 29681
National Provider ID: 1144660036
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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UPSTATE PODIATRY GROUP, PA

114B Hospital Dr, Simpsonville, SC 29681

Registration:
Jun 3, 2013
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Agent:
William S. Long

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