| Coastal Carolina Foot & Ankle Association Pa | |
|
114 N Norwood St, Wallace, NC 28466-2730 | |
| (910) 285-3362 | |
| (910) 285-6683 |
| Full Name | Coastal Carolina Foot & Ankle Association Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 114 N Norwood St, Wallace, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639336027 | NPI | - | NPPES |
| 890152P | Medicaid | NC | |
| DR7169 | Other | NC | RAILROAD MEDICARE PTAN |
| B1114 | Other | NC | MEDCOST |
| 2347992 | Other | NC | MEDICARE PTAN |
| 0152P | Other | NC | BCBS NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 230 (North Carolina) | Primary |
| 213ES0131X | Podiatrist - Foot Surgery | 449 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Carolina Foot & Ankle Association Pa 114 N Norwood St, Wallace, NC 28466-2730 Ph: (910) 285-3362 | Coastal Carolina Foot & Ankle Association Pa 114 N Norwood St, Wallace, NC 28466-2730 Ph: (910) 285-3362 |
Wallace Foot Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 114 N Norwood St, Wallace, NC 28466 Phone: 910-285-3362 Fax: 910-285-6683 | |
Instride Foot And Ankle Specialists, Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 205 E Main St, Wallace, NC 28466 Phone: 910-285-3362 |