| Wallace Foot Center | |
|
114 N Norwood St, Wallace, NC 28466-2730 | |
| (910) 285-3362 | |
| (910) 285-6683 |
| Full Name | Wallace Foot Center |
|---|---|
| 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 |
|---|---|---|---|
| 1275709677 | NPI | - | NPPES |
| 890152P | Medicaid | NC | |
| 2432650A | Other | NC | MEDICARE PTAN |
| CJ7762 | Other | NC | RAILROAD MEDICARE PTAN |
| 0152P | Other | NC | BCBS NC |
| B1114 | Other | NC | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 449 (North Carolina) | Primary |
| 213ES0131X | Podiatrist - Foot Surgery | 230 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Foot Center 114 N Norwood St, Wallace, NC 28466-2730 Ph: (910) 285-3362 | Wallace Foot Center 114 N Norwood St, Wallace, NC 28466-2730 Ph: (910) 285-3362 |
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 | |
Coastal Carolina Foot & Ankle Association Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 114 N Norwood St, Wallace, NC 28466 Phone: 910-285-3362 Fax: 910-285-6683 |