Organization · Type 2 NPI

Trident Podiatry, LLC

Foot & Ankle Surgery Podiatrist · North Charleston, SC

NPI number 1174785703 Active

Practice location

9279 Medical Plaza Dr, Suite D
North Charleston, SC 29406-9141

Fax (843) 553-2275

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X114 (SC)
Durable Medical Equipment & Medical Supplies 332B00000X114 (SC)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1174785703

Trident Podiatry, LLC's National Provider Identifier is 1174785703, issued on Jun 25, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in North Charleston, SC. The record was last updated on Jun 25, 2009.