Healthcare Provider Details
I. General information
NPI: 1881863199
Provider Name (Legal Business Name): SHELDON MARNE, DPM
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2008
Last Update Date: 07/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
704 OAKLAND ST
HENDERSONVILLE NC
28791-3648
US
IV. Provider business mailing address
704 OAKLAND ST
HENDERSONVILLE NC
28791-3648
US
V. Phone/Fax
- Phone: 828-696-0800
- Fax: 828-696-2126
- Phone: 828-696-0800
- Fax: 828-696-2126
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | 311 |
| License Number State | NC |
VIII. Authorized Official
Name: DR.
SHELDON
MARNE
Title or Position: OWNER
Credential: D.P.M.
Phone: 828-696-0800