# RALEIGH FOOT CENTER,PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619915501
- **Authorized official:** ROBERT M HATCHER DPM (PRESIDENT)
- **Authorized official phone:** (919) 850-9111

## Contact information

- **Practice address:** 1418 E MILLBROOK RD, RALEIGH, NC 27609-4812
- **Practice address phone:** (919) 850-9111
- **Practice address fax:** (919) 850-2499
- **Mailing address:** PO BOX 98209, RALEIGH, NC 27624-8209
- **Mailing address phone:** (919) 850-9111
- **Mailing address fax:** (919) 850-2499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 02/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2431990A | MEDICARE ID-PTAN | NC |
| 05 | — | 89081E | — | NC |