| |
445 Pineview Dr, Suite 230, Kernersville, NC 27284-3817 | |
(336) 774-3141 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 445 Pineview Dr, Kernersville, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457782849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-7203 | 445 Pineview Dr, Suite 230, Kernersville, NC 27284-3817 Ph: (336) 774-3141 |