Thurmond Eric Siceloff in Clemmons - Foot & Ankle Surgery

Thurmond Eric Siceloff - NPI 1164425013

Thurmond Eric Siceloff is a Foot & Ankle Surgery in Clemmons, North Carolina. Thurmond Eric Siceloff practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Thurmond Eric Siceloff is 1164425013. The last update date is 2018-06-15.

Thurmond Eric Siceloff's current location address is 6341 Cook Ave, Clemmons, North Carolina. You can contact this provider via phone number 3367668400 and fax number 3367668486. The mailing address for Thurmond Eric Siceloff is 6341 Cook Ave, Clemmons, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Thurmond Eric Siceloff
Address 6341 Cook Ave, Clemmons, North Carolina
Phone Number 3367668400
Fax Number 3367668486
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1164425013
Provider Enumeration Date 2005-05-24
Last Updated Date 2018-06-15

Provider Mailing Address Detail

Address 6341 Cook Ave
City Clemmons
State North Carolina (NC)
Post Code 2701293790
Phone Number 3367668400
Fax Number 3367668486

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 388
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P01909015 NC RAILROAD MEDICARE
7908019 NC --
NCH360B699 NC MEDICARE
1164425013 NC --

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FAQs about Thurmond Eric Siceloff

What is the unique provider identifier assigned to Thurmond Eric Siceloff?

The Thurmond Eric Siceloff has been issued the NPI (National Provider Identifier) 1164425013 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Thurmond Eric Siceloff?

The Thurmond Eric Siceloff is situated at 6341 Cook Ave, in the city of Clemmons, state of NC, with the zip code 2701293790.

What is Thurmond Eric Siceloff's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Thurmond Eric Siceloff's specialized field of practice is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 213Es0103X.

On what date did the Thurmond Eric Siceloff receive its 1164425013 assignment from the Centers for Medicare & Medicaid Services?

The Thurmond Eric Siceloff was assigned its 1164425013 by the Centers for Medicare & Medicaid Services on 2005-05-24.

When was the information related to Thurmond Eric Siceloff most recently updated or refreshed?

The details pertaining to the Thurmond Eric Siceloff, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-06-15.

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