Healthcare Provider Details

I. General information

NPI: 1508773490
Provider Name (Legal Business Name): F.O.O.T.P.R.I.N.T.S. SOLUTIONS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 WAKE FOREST RD STE 300
RALEIGH NC
27609-6800
US

IV. Provider business mailing address

4030 WAKE FOREST RD STE 300
RALEIGH NC
27609-6800
US

V. Phone/Fax

Practice location:
  • Phone: 191-975-7363
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DEREK TEEL
Title or Position: MEMBER
Credential:
Phone: 919-757-3634