| |
211 Old Lexington Road, Thomasville, NC 27360 | |
(336) 476-3338 | |
(336) 474-3274 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 211 Old Lexington Road, Thomasville, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740511989 | NPI | - | NPPES |
5915240 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1701 Westchester Drive, Suite 850, High Point, NC 27262-7254 Ph: (336) 802-2536 | 211 Old Lexington Road, Thomasville, NC 27360 Ph: (336) 476-3338 |
Larissa Maria Hatala, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 211 Old Lexington Rd, Thomasville, NC 27360 Phone: 336-474-4770 Fax: 336-474-4779 |