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General NPI Number Information
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NPI Number | 1962874669
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Entity Type | Organization
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Legal Business Name | INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
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Dates
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Enumeration Date | 10/21/2015
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 11 MILLS AVE
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City | GREENVILLE
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State | SC
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Zip | 29605-4015
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Country | US
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Telephone | 864-232-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 1036 BRANCHVIEW DR STE 216
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City | CONCORD
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State | NC
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Zip | 28025-0113
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Country | US
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Telephone | 704-886-1918
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Fax | 704-257-2049
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Authorized Official
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Title or Position | ADMIN
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Name | WILLIAM CHARLES MYERS
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Credential |
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Telephone | 843-347-3334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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