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Organization
UNIFOUR PODIATRY, PLLC
Active
Organization
UNIFOUR PODIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HENRY GROGAN III DPM (OWNER)
(828) 267-1916
Entity
Organization
Contact information
Practice address
912 2ND ST NE, HICKORY, NC 28601-3851
(828) 267-1916
(828) 267-1922
Mailing address
912 2ND ST NE, HICKORY, NC 28601-3851
(828) 267-1916
(828) 267-1922
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
430
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0804E
BC BS
NC
01
—
2030547002
CIGNA
NC
01
—
26-42566
UHC
NC
05
—
890804E
—
NC
Enumeration date
06/30/2009
Last updated
06/30/2009
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