MEDICARE: CHARLOTTE FOOT & ANKLE SPECIALISTS, 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	213ES0131X	Foot Surgery Podiatrist	457	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184759706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLOTTE FOOT & ANKLE SPECIALISTS, PLLC

Provider Business Mailing Address
First Line	:	2550 W ARROWOOD RD
Second Line	:	SUITE #102
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-6651
Country	:	US
Telephone Number	:	704-504-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 W ARROWOOD RD
Second Line	:	SUITE #102
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-6651
Country	:	US
Telephone Number	:	704-504-4000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KRISTINE STRAUSS
Credential	:	DPM
Telephone Number	:	704-504-4000

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	05/23/2008

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