Organization
FOOT CARE CENTER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIYA BOYCE (REGIONAL CREDENTIALING SPECIALIST)
(301) 933-7133
Entity
Organization
Contact information
Practice address
44 TRIFECTA PL STE 200, CHARLES TOWN, WV 25414-5720
(304) 728-5000
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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