Provider Demographics
NPI:1245235464
Name:ZAREMBA, ANGELA FALLAW (DPM)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:FALLAW
Last Name:ZAREMBA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 WATERLOO ST SW STE 4
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-3766
Mailing Address - Country:US
Mailing Address - Phone:803-643-8637
Mailing Address - Fax:803-643-8636
Practice Address - Street 1:148 WATERLOO ST SW
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3763
Practice Address - Country:US
Practice Address - Phone:803-643-8637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC508213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPD5088Medicaid
SCPD5088Medicaid