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NPI Code Detail

MEDICARE: FOOT & ANKLE INSTITUTE OF THE CAROLINAS, PA

MEDICARE: FOOT & ANKLE INSTITUTE OF THE CAROLINAS, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist96NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821255001
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOOT & ANKLE INSTITUTE OF THE CAROLINAS, PA
Provider Business Mailing Address
First Line : 3301 SUNSET AVE
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-3521
Country : US
Telephone Number : 252-443-7114
Fax Number : 252-443-7115
Provider Business Practice Location Address
First Line : 3301 SUNSET AVE
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-3521
Country : US
Telephone Number : 252-443-7114
Fax Number : 252-443-7115
Authorized Official
Title or Position : PRACTICE MANAGER
Name : BEVERLY WARREN
Credential :
Telephone Number : 252-443-7114
Provider Enumeration Date : 05/16/2008
Last Update Date : 01/14/2025

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Directions to “FOOT & ANKLE INSTITUTE OF THE CAROLINAS, PA ” Practice Location

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