Coastal Foot Center, LLC
Podiatrist, Primary Podiatric Medicine in Jacksonville, NC. Organization (NPI-2).
NPI number1346730173
StatusActive
Last updated in NPPESApr 3, 2024
Details
- NPI
- 1346730173
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Foot Center, LLC
- Organization subpart
- No
- Enumeration date
- May 17, 2018
- Certification date
- Mar 2, 2024
- Last updated
- Apr 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | – | – | Yes |
Practice location
29 Office Park DriveSuite B
Jacksonville, NC 28546-3219
Phone 910-938-6000 · Fax 910-938-3618
Mailing address
29 Office Park DriveSuite B
Jacksonville, NC 28546-3219
Phone 910-938-6000 · Fax 910-938-3618
Authorized official
Valentine Hamilton
Owner/Physician
9109386000
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