| |
6341 Cook Ave, Suite A, Clemmons, NC 27012-9379 | |
(336) 766-8400 | |
(336) 766-8486 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 6341 Cook Ave, Clemmons, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881643419 | NPI | - | NPPES |
8908042 | Medicaid | NC | |
08042 | Other | NC | BLUE CROSS OF NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 268, Clemmons, NC 27012-0268 Ph: (336) 766-8400 | 6341 Cook Ave, Suite A, Clemmons, NC 27012-9379 Ph: (336) 766-8400 |
Dr. Thurmond Eric Siceloff, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6341 Cook Ave, Clemmons, NC 27012 Phone: 336-766-4800 Fax: 336-766-8486 | |
Terry Ann Donovan, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6341 Cook Ave, Ste A, Clemmons, NC 27012 Phone: 336-766-8400 Fax: 336-766-8486 | |
Instride Foot & Ankle Specialists, Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6341 Cook Ave Ste A, Clemmons, NC 27012 Phone: 336-766-8400 |