# FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366250680
- **Legal business name:** FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
- **Authorized official:** KIYA BOYCE (REGIONAL CREDENTIALING SPECIALIST)
- **Authorized official phone:** (704) 897-2261

## Contact information

- **Practice address:** 1000 CRESCENT GRN STE 101, CARY, NC 27518-8117
- **Practice address phone:** (301) 933-7133
- **Mailing address:** PO BOX 825159 DEPARTMENT A, PHILADELPHIA, PA 19182-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2024
- **Last updated:** 12/19/2024