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Organization
FOOTHILLS PODIATRY PA
Active
Organization
FOOTHILLS PODIATRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J. MAUNEY DPM (PRES)
(704) 487-6672
Entity
Organization
Contact information
Practice address
707 N MORGAN ST, SHELBY, NC 28150-3840
(704) 487-6672
Mailing address
707 N MORGAN ST, SHELBY, NC 28150-3840
(704) 487-6672
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
102
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0808H
BCBS
NC
05
—
890808H
—
NC
Enumeration date
07/15/2005
Last updated
02/18/2010
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