is a Primary Podiatric Medicine in Monroe, North Carolina. practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for is 1437316361. The last update date is .
's current location address is 506 S Sutherland Ave, Monroe, North Carolina. You can contact this provider via phone number 7042893338 and fax number 7042831597. The mailing address for is 506 S Sutherland Ave, Monroe, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 506 S Sutherland Ave, Monroe, North Carolina |
| Phone Number | 7042893338 |
| Fax Number | 7042831597 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1437316361 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 506 S Sutherland Ave |
|---|---|
| City | Monroe |
| State | North Carolina (NC) |
| Post Code | 281125061 |
| Phone Number | 7042893338 |
| Fax Number | 7042831597 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8908153 | NC | -- | |
| P00102841 | MEDICARE RR | ||
| 8153 | BCBS | ||
| 2700114 | EVERCARE |
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