Carolina Podiatry Clinic Llc
Primary Podiatric Medicine
2502 Broad St, Camden
South Carolina, 29020
803-425-5510 803-432-4776
Carolina Podiatry Clinic Llc is a Primary Podiatric Medicine in Camden, South Carolina. It is located at 2502 Broad St, Camden and it's customer support contact number is 803-425-5510. The authorized person of Carolina Podiatry Clinic Llc is Dr. John Ksor, DPM who is Podiatrist of this DME and his contact number is 864-494-0534. Active license number of Carolina Podiatry Clinic Llc is 563 for Primary Podiatric Medicine in South Carolina. Carolina Podiatry Clinic Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Carolina Podiatry Clinic Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Carolina Podiatry Clinic Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Carolina Podiatry Clinic Llc |
| Type: | Primary Podiatric Medicine |
| Location: | 2502 Broad St, Camden,
South Carolina, 29020 |
| Phone: | 803-425-5510 |
| Fax: | 803-432-4776 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. John Ksor |
| Credentials: | DPM |
| Position: | Podiatrist |
| Contact Number: | 864-494-0534 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1932421385 |
| NPI Enumeration Date: | 25 Feb, 2010 |
| NPI Last Update On: | 17 Aug, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carolina Podiatry Clinic Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Primary Podiatric Medicine | 563 | South Carolina | Primary | |
| Durable Medical Equipment & Medical Supplies | DE3794 | South Carolina | Secondary | |
| Durable Medical Equipment & Medical Supplies | 6460510001 | South Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| GP9894 | Medicaid | South Carolina | |
| DQ3852 | Other | South Carolina | Rr Medicare |
Medicare Enrollment:
Carolina Podiatry Clinic Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5092846774 | O20100624000009 | Carolina Podiatry Clinic Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2604 Broad St,
Camden, South Carolina |
| Zip: | 29020-2240 |
| Phone Number: | 803-425-5510 |
| Fax Number: | 803-432-4776 |
Patients can reach Carolina Podiatry Clinic Llc at
2502 Broad St, Camden, South Carolina or can
call on customer care at 803-425-5510.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.