Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Carolina Podiatric Physicians and Surgeons Group, LLC

Organization Podiatrist · NPI 1225455835

South Carolina Podiatric Physicians and Surgeons Group, LLC provides Podiatrist services in Conway, South Carolina. Licensed in South Carolina. Registered with an NPI since 2014.

Licensed in
SC
In the registry since
2014
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8020 Myrtle Trace Dr
Conway, SC 29526-8945 Not confirmed with CMS for 12 years — call before visiting
Phone: (843) 234-9100
Fax: (843) 234-9103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X (SC)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X (SC)
Foot Surgery Podiatrist Taxonomy 213ES0131X (SC)

Record details

NPI number1225455835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Percival — President · (803) 285-1411
NPI enumeratedMarch 20, 2014
Last updated in NPPESMarch 20, 2014
Mailing address8141 Rourk St, Myrtle Beach, SC 29572-4128

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