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Organization
CAROLINA FOOT AND MEDICAL CARE
Active
Organization
CAROLINA FOOT AND MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA NETTLES (OFFICE MANAGER)
(910) 904-6600
Entity
Organization
Contact information
Practice address
300 BIRCH ST, RAEFORD, NC 28376-3297
(910) 904-6600
(910) 904-1810
Mailing address
300 BIRCH ST, RAEFORD, NC 28376-3297
(910) 904-6600
(910) 904-1810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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