Brunswick Foot & Ankle Surgery in Supply - Podiatric

Brunswick Foot & Ankle Surgery - NPI 1396874285

Brunswick Foot & Ankle Surgery is a Podiatric in Supply, North Carolina. Brunswick Foot & Ankle Surgery practices all healthcare services and medical treatments related to Podiatric. The NPI Number for Brunswick Foot & Ankle Surgery is 1396874285. The last update date is 2011-09-21.

Brunswick Foot & Ankle Surgery's current location address is 14 Doctors Cir, Supply, North Carolina. You can contact this provider via phone number 9197519120 and fax number 9197519170. The mailing address for Brunswick Foot & Ankle Surgery is 14 Doctors Cir, Supply, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brunswick Foot & Ankle Surgery
Address 14 Doctors Cir, Supply, North Carolina
Phone Number 9197519120
Fax Number 9197519170
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Kibler Joseph
Credentials DPM
Telephone Number 9197519120

NPI Number Detail

NPI Number 1396874285
Provider Enumeration Date 2007-03-05
Last Updated Date 2011-09-21

Provider Mailing Address Detail

Address 14 Doctors Cir
City Supply
State North Carolina (NC)
Post Code 284624097
Phone Number 9197519120
Fax Number 9197519170

Provider's Primary Taxonomy Detail

Speciality Podiatric
Taxonomy 261Qp1100X
Definition:
Provides conservative and surgical foot and ankle care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
890806X NC --
5199990001 NC MEDICARE DMERC PTAN

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FAQs about Brunswick Foot & Ankle Surgery

What is the Brunswick Foot & Ankle Surgery's 1396874285?

The Brunswick Foot & Ankle Surgery's NPI (National Provider Identifier) Number is 1396874285. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Brunswick Foot & Ankle Surgery is located?

The Brunswick Foot & Ankle Surgery is situated at the following address: 14 Doctors Cir, Supply, NC, 284624097.

What is the Brunswick Foot & Ankle Surgery's specialty and taxonomy code?

The Brunswick Foot & Ankle Surgery's specialty is Podiatric, and the corresponding taxonomy code is 261Qp1100X.

On what date was the 1396874285 assigned to Brunswick Foot & Ankle Surgery?

The Brunswick Foot & Ankle Surgery was issued its 1396874285 on 2007-03-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Brunswick Foot & Ankle Surgery most recently updated or refreshed?

The details pertaining to the Brunswick Foot & Ankle Surgery, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-09-21.

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