Foot And Ankle Specialists Of The Mid-Atlantic, LLC
Podiatrist in Holly Springs, NC. Organization (NPI-2).
NPI number1912474784
StatusActive
Last updated in NPPESFeb 25, 2025
Details
- NPI
- 1912474784
- Entity type
- Organization (NPI-2)
- Legal business name
- Foot And Ankle Specialists Of The Mid-Atlantic, LLC
- Organization subpart
- No
- Enumeration date
- Oct 30, 2018
- Certification date
- Feb 25, 2025
- Last updated
- Feb 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
1004 Werrington DriveSuite 300
Holly Springs, NC 27540
Phone 919-850-9111
Mailing address
Po Box 825159Philadelphia, PA 19182-5159
Phone 301-933-7133
Authorized official
David J Freedman
Vice President
3015980130
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