| |
6602 Knightdale Blvd Ste 203, Knightdale, NC 27545-6567 | |
(919) 295-4600 | |
(919) 295-5475 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 6602 Knightdale Blvd Ste 203, Knightdale, 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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1861042152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 Ph: (984) 215-4111 | 6602 Knightdale Blvd Ste 203, Knightdale, NC 27545-6567 Ph: (919) 295-4600 |