person
Dr. Thurmond Eric Siceloff, DPM
Primary Podiatric Medicine Podiatrist in Clemmons, North Carolina
NPI 1164425013

Thurmond Eric Siceloff is a Primary Podiatric Medicine Podiatrist based in Clemmons, NC and is specialized in Primary Podiatric Medicine. Thurmond Eric Siceloff practices in Clemmons, NC and has the professional credentials of DPM. The NPI Number for Thurmond Eric Siceloff is 1164425013 and holds a License No. 388 (North Carolina).

The current practice location address for Thurmond Eric Siceloff is 6341 Cook Ave, Clemmons, NC and can be reached out via phone at 336-766-4800 and via fax at 336-766-8486. You can also correspond with Thurmond Eric Siceloff through the mailing address at 6341 COOK AVE, CLEMMONS, NC - 27012-9379 (mailing address contact number: 336-766-8400).

Location: 6341 Cook Ave, Clemmons, NC, 27012-9379
person
Provider Profile Details
NPI Number
1164425013
Provider Name
Thurmond Eric Siceloff
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6341 Cook Ave, Clemmons, NC, 27012-9379
Phone Number
336-766-4800
Fax Number
336-766-8486
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01909015 01 NC RAILROAD MEDICARE
7908019 05 NC
NCH360B699 01 NC MEDICARE
1164425013 05 NC
institution
Provider Business Practice Location Address Details
Address
6341 Cook Ave
City
State
Zip
27012
Phone Number
336-766-4800
Fax Number
336-766-8486
person
Provider Business Mailing Address Details
Address
6341 Cook Ave
City
State
Zip
27012
Phone Number
336-766-4800
Fax Number
336-766-8486
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
388 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
388 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
388 (North Carolina)
Definition
Definition to come...
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