Foot Faults Pc in Goldsboro - Podiatrist

Foot Faults Pc - NPI 1205002458

Foot Faults Pc is a Podiatrist in Goldsboro, North Carolina. Foot Faults Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Foot Faults Pc is 1205002458. The last update date is 2009-02-02.

Foot Faults Pc's current location address is 110 S Pineview Ave, Goldsboro, North Carolina. You can contact this provider via phone number 9197348007. The mailing address for Foot Faults Pc is 110 S Pineview Ave, Goldsboro, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Foot Faults Pc
Address 110 S Pineview Ave, Goldsboro, North Carolina
Phone Number 9197348007
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Hall L Jenny
Credentials DPM
Telephone Number 9197348007

NPI Number Detail

NPI Number 1205002458
Provider Enumeration Date 2008-05-07
Last Updated Date 2009-02-02

Provider Mailing Address Detail

Address 110 S Pineview Ave
City Goldsboro
State North Carolina (NC)
Post Code 275305138
Phone Number 9197348007
Fax Number

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 221
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5950076 NC --

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FAQs about Foot Faults Pc

What is the unique 10-digit identifier code assigned to Foot Faults Pc by the Centers for Medicare & Medicaid Services?

The Foot Faults Pc has been issued the NPI (National Provider Identifier) 1205002458 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Foot Faults Pc is physically located?

The Foot Faults Pc is situated at the following address: 110 S Pineview Ave, Goldsboro, NC 275305138.

What is Foot Faults Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Foot Faults Pc's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.

On what date did Foot Faults Pc receive its 1205002458 assignment from the Centers for Medicare & Medicaid Services?

The Foot Faults Pc was assigned its 1205002458 on 2008-05-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Foot Faults Pc last refreshed?

The information related to the Foot Faults Pc, including its address, specialty, and other relevant details, was last updated on 2009-02-02.

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