Southeastern Foot & Ankle Associates, Pa in Wilmington - Podiatric
Southeastern Foot & Ankle Associates, Pa - NPI 1154450393
Southeastern Foot & Ankle Associates, Pa is a Podiatric in Wilmington, North Carolina. Southeastern Foot & Ankle Associates, Pa practices all healthcare services and medical treatments related to Podiatric. The NPI Number for Southeastern Foot & Ankle Associates, Pa is 1154450393. The last update date is 2013-08-30.
Southeastern Foot & Ankle Associates, Pa's current location address is 920 S 17th St, Wilmington, North Carolina. You can contact this provider via phone number 9107637578 and fax number 9107639320. The mailing address for Southeastern Foot & Ankle Associates, Pa is 920 S 17th St, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Foot & Ankle Associates, Pa |
|---|---|
| Address | 920 S 17th St, Wilmington, North Carolina |
| Phone Number | 9107637578 |
| Fax Number | 9107639320 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mcconekey Robert |
| Credentials | DPM |
| Telephone Number | 9107637578 |
NPI Number Detail
| NPI Number | 1154450393 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2013-08-30 |
Provider Mailing Address Detail
| Address | 920 S 17th St |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284018022 |
| Phone Number | 9107637578 |
| Fax Number | 9107639320 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatric |
|---|---|
| Taxonomy | 261Qp1100X |
| Licence No | 465 |
|
Definition: Provides conservative and surgical foot and ankle care. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 890808U | NC | -- | |
| 2332798 | NC | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Southeastern Foot & Ankle Associates, Pa by the Centers for Medicare & Medicaid Services?
The Southeastern Foot & Ankle Associates, Pa has been assigned the NPI (National Provider Identifier) 1154450393. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Southeastern Foot & Ankle Associates, Pa is geographically located?
The Southeastern Foot & Ankle Associates, Pa is physically situated at the following location: 920 S 17Th St, Wilmington, NC, 284018022.
What is Southeastern Foot & Ankle Associates, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southeastern Foot & Ankle Associates, Pa is Podiatric, and the taxonomy code that classifies this field of practice is 261Qp1100X.
On what date was the 1154450393 assigned to Southeastern Foot & Ankle Associates, Pa?
The Southeastern Foot & Ankle Associates, Pa was issued its 1154450393 on 2007-03-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Southeastern Foot & Ankle Associates, Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southeastern Foot & Ankle Associates, Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-08-30.