Foot And Ankle Of The Carolinas PLLC
Podiatrist, Public Medicine in Matthews, NC. Organization (NPI-2).
NPI number1699863027
StatusActive
Last updated in NPPESMay 28, 2009
Details
- NPI
- 1699863027
- Entity type
- Organization (NPI-2)
- Legal business name
- Foot And Ankle Of The Carolinas PLLC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2006
- Last updated
- May 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213EP0504X | Podiatrist, Public Medicine | 259 | OH | Yes |
Practice location
2950 Senna DrMatthews, NC 28105-6722
Phone 704-845-2920 · Fax 704-845-2921
Mailing address
2950 Senna DrMatthews, NC 28105-6722
Phone 704-845-2920 · Fax 704-845-2921
Authorized official
Eric V Ward
Manager
7048452920
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