Foot & Ankle Associates Of The Triad, PA
Podiatrist in Winston Salem, NC. Organization (NPI-2).
NPI number1063641710
StatusActive
Last updated in NPPESJan 7, 2010
Details
- NPI
- 1063641710
- Entity type
- Organization (NPI-2)
- Legal business name
- Foot & Ankle Associates Of The Triad, PA
- Organization subpart
- No
- Enumeration date
- Jul 2, 2009
- Last updated
- Jan 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
3641 Westgate Center CirSuite A
Winston Salem, NC 27103-2936
Phone 336-774-4021 · Fax 336-774-4024
Mailing address
3641 Westgate Center CirSuite A
Winston Salem, NC 27103-2936
Phone 336-774-4021 · Fax 336-774-4024
Authorized official
Thurmond Eric Siceloff
President
3367744021
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