# PIEDMONT FOOT AND ANKLE ASSOCIATES PC

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

## Provider details

- **NPI number:** 1942314802
- **Authorized official:** DR. THURMOND E SICELOFF DPM (VICE PRESIDENT)
- **Authorized official phone:** (919) 751-9120

## Contact information

- **Practice address:** 3641 WESTGATE CENTER CIR, SUITE A, WINSTON SALEM, NC 27103-2936
- **Practice address phone:** (919) 751-9120
- **Practice address fax:** (919) 751-9170
- **Mailing address:** 3641 WESTGATE CENTER CIR, SUITE A, WINSTON SALEM, NC 27103-2936
- **Mailing address phone:** (919) 751-9120
- **Mailing address fax:** (919) 751-9170

## Taxonomy

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

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 04/20/2008
