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Organization
TARHEEL FOOT & SPECIALTY CARE, P.A.
Active
Organization
TARHEEL FOOT & SPECIALTY CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL LYNN KEELER (HR MANAGER)
(910) 929-6944
Entity
Organization
Contact information
Practice address
300 BIRCH ST, SUITE B, RAEFORD, NC 28376-3297
(910) 904-6600
(910) 904-1810
Mailing address
300 BIRCH ST, SUITE B, RAEFORD, NC 28376-3297
(910) 904-6600
(910) 904-1810
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
900257
NC
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
07/20/2022
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