MEDICARE: FOOT & ANKLE ASSOCIATES OF NORTH CAROLINA, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1083502413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOT & ANKLE ASSOCIATES OF NORTH CAROLINA, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 14759
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27620-4759
Country	:	US
Telephone Number	:	919-231-7969
Fax Number	:	919-231-7970

Provider Business Practice Location Address
First Line	:	320 VETERANS PKWY
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27520-2760
Country	:	US
Telephone Number	:	919-763-1510
Fax Number	:

Authorized Official
Title or Position	:	OWNER - PARTNER
Name	:	CLARENCE M STEWART
Credential	:	DPM
Telephone Number	:	919-231-7969

Provider Enumeration Date	:	06/25/2025
Last Update Date	:	06/25/2025

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