# SOUTH COAST FOOT AND ANKLE INC

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

## Provider details

- **NPI number:** 1720356942
- **Authorized official:** DR. ROSE S SOUTHERLAND DPM (OWNER)
- **Authorized official phone:** (910) 579-0828

## Contact information

- **Practice address:** 25 UNION SCHOOL RD NW, SUITE 1, OCEAN ISLE BEACH, NC 28469-7307
- **Practice address phone:** (910) 579-0828
- **Practice address fax:** (910) 579-5463
- **Mailing address:** 25 UNION SCHOOL RD NW, SUITE 1, OCEAN ISLE BEACH, NC 28469-7307
- **Mailing address phone:** (910) 579-0828
- **Mailing address fax:** (910) 579-5463

## Taxonomy

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

## Other

- **Enumeration date:** 12/02/2011
- **Last updated:** 06/11/2012