Healthcare Provider Details

I. General information

NPI: 1659324507
Provider Name (Legal Business Name): ASSOCIATES IN PODIATRY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 MEMORIAL DR
JACKSONVILLE NC
28546-6332
US

IV. Provider business mailing address

224 MEMORIAL DR
JACKSONVILLE NC
28546-6332
US

V. Phone/Fax

Practice location:
  • Phone: 910-577-7575
  • Fax:
Mailing address:
  • Phone: 910-577-7575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number220
License Number StateNC

VIII. Authorized Official

Name: DR. DAVID MICHAEL FIGOWY
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 910-577-7575