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Organization
CAROLINA PODIATRY CENTER PLLC
Active
Organization
CAROLINA PODIATRY CENTER PLLC
Active
Other names
William J. Johncock DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JESSE JOHNCOCK DPM (SOLE MEMBER)
(828) 327-3029
Entity
Organization
Contact information
Practice address
36 14TH AVE NE, SUITE 102, HICKORY, NC 28601-2581
(828) 327-3029
(828) 327-3181
Mailing address
36 14TH AVE NE, SUITE 102, HICKORY, NC 28601-2581
(828) 327-3029
(828) 327-3181
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
348
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0808N
BCBS NC NUMBER
NC
05
—
890808N
—
NC
Enumeration date
03/02/2007
Last updated
12/06/2012
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