institution
Southeastern Foot & Ankle Associates, Pa
Podiatric Clinic/Center in Wilmington, North Carolina
NPI 1154450393

Southeastern Foot & Ankle Associates, Pa is a Podiatric Clinic/Center based in Wilmington, NC and is specialized in Podiatric. Southeastern Foot & Ankle Associates, Pa practices in Wilmington, NC. The NPI Number for Southeastern Foot & Ankle Associates, Pa is 1154450393 and holds a License No. 465 (North Carolina).

The current practice location address for Southeastern Foot & Ankle Associates, Pa is 920 S 17Th St, Wilmington, NC and can be reached out via phone at 910-763-7578 and via fax at 910-763-9320.

Location: 920 S 17Th St, Wilmington, NC, 28401-8022
institution
Provider Profile Details
NPI Number
1154450393
Provider Name
Southeastern Foot & Ankle Associates, Pa
Credential
Provider Entity Type
Organization
Address
920 S 17Th St, Wilmington, NC, 28401-8022
Phone Number
910-763-7578
Fax Number
910-763-9320
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
890808U 05 NC
2332798 01 NC MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
920 S 17Th St
City
State
Zip
28401-8022
Phone Number
910-763-7578
Fax Number
910-763-9320
person
Provider Business Mailing Address Details
Address
920 S 17Th St
City
State
Zip
28401-8022
Phone Number
910-763-7578
Fax Number
910-763-9320
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
465 (North Carolina)
Definition
Definition to come...
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