Coastal Carolina Foot & Ankle Association Pa

LBN: Coastal Carolina Foot & Ankle Association Pa
Coastal Carolina Foot & Ankle Association Pa is an health care organization with primary practice located at 114 N Norwood St , Wallace NC 28466-2730. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Coastal Carolina Foot & Ankle Association Pa can be contacted via phone (910) 285-3362, or through Walker, Kathy N via phone (910) 343-8889.

Contact Information

Primary practice address
114 N Norwood St Wallace NC 28466-2730
Fax: (910) 285-6683
Website:
Authorized official contact:
Name: Walker, Kathy N

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 230 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 449 North Carolina

Profile Details

NPI number 1639336027
LBN Legal business name Coastal Carolina Foot & Ankle Association Pa
DBA Doing business as
Authorized official Walker, Kathy N
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2008
Last updated Sep 17th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639336027 NPPES
North Carolina MEDICAID 890152P
North Carolina Other DR7169
North Carolina Other B1114
North Carolina Other 2347992
North Carolina Other 0152P

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