# CAROLINA FOOT AND MEDICAL CARE

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

## Provider details

- **NPI number:** 1659512531
- **Authorized official:** MRS. ANITA NETTLES (OFFICE MANAGER)
- **Authorized official phone:** (910) 904-6600

## Contact information

- **Practice address:** 300 BIRCH ST, RAEFORD, NC 28376-3297
- **Practice address phone:** (910) 904-6600
- **Practice address fax:** (910) 904-1810
- **Mailing address:** 300 BIRCH ST, RAEFORD, NC 28376-3297
- **Mailing address phone:** (910) 904-6600
- **Mailing address fax:** (910) 904-1810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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