Organization
FOOT CENTERS OF NC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN DEBORAH DE JESUS (MANAGEMENT)
(760) 200-8588
Entity
Organization
Contact information
Practice address
5921 W FRIENDLY AVE STE D, GREENSBORO, NC 27410-3268
(336) 218-8490
(336) 768-3078
Mailing address
76764 LANCELOT CT, PALM DESERT, CA 92211-7103
(760) 200-8588
(760) 345-3609
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
409
NC
Other
Enumeration date
02/24/2009
Last updated
02/19/2019
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