Healthcare Provider Details
I. General information
NPI: 1568635100
Provider Name (Legal Business Name): FEET FIRST, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2008
Last Update Date: 05/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1401 SPRINGHILL AVENUE
MOBILE AL
36604-3204
US
IV. Provider business mailing address
1401 SPRINGHILL AVE
MOBILE AL
36604-3204
US
V. Phone/Fax
- Phone: 251-432-3338
- Fax: 251-432-3330
- Phone: 251-432-3338
- Fax: 251-432-3330
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | 0150 |
| License Number State | AL |
VIII. Authorized Official
Name: DR.
STUART
J
ALTER
Title or Position: OWNER/PARTNER
Credential: DPM
Phone: 251-432-3338