Active Foot And Ankle Of Carolina Pllc | |
1076 Us Highway 17 S, Elizabeth City, NC 27909-7627 | |
(252) 333-3111 | |
(252) 333-1105 |
Full Name | Active Foot And Ankle Of Carolina Pllc |
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Type | Facility |
Speciality | Podiatrist - Foot Surgery |
Location | 1076 Us Highway 17 S, Elizabeth City, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1730574757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0131X | Podiatrist - Foot Surgery | (North Carolina) | Primary |
Provider Name | Munjed Shukri Salem |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1558681197 PECOS PAC ID: 6901044270 Enrollment ID: I20151005003292 |
Provider Name | Soumaya Toufic Bader |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1568982247 PECOS PAC ID: 1658796271 Enrollment ID: I20201102000000 |
Provider Name | Kevin L Craney |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1265051619 PECOS PAC ID: 8628422169 Enrollment ID: I20240125000022 |
Mailing Address | Practice Location Address |
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Active Foot And Ankle Of Carolina Pllc 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 Ph: (757) 547-0123 | Active Foot And Ankle Of Carolina Pllc 1076 Us Highway 17 S, Elizabeth City, NC 27909-7627 Ph: (252) 333-3111 |
Dr. Richard Christian King, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 1121 N Road St, Suite B, Elizabeth City, NC 27909 Phone: 252-338-2111 Fax: 252-338-2113 | |
King Podiatry And Associates Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 1121 N Road St Ste B, Elizabeth City, NC 27909 Phone: 252-338-2111 Fax: 252-338-2113 | |
King Podiatry And Associates Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1121 N Road St, B, Elizabeth City, NC 27909 Phone: 252-338-2111 Fax: 252-338-2113 |