Organization
GUILFORD FOOT CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYEONG SHEARD DPM (PRESIDENT)
(336) 282-8787
Entity
Organization
Contact information
Practice address
3931 TINSLEY DR, SUITE 104, HIGH POINT, NC 27265-1532
(336) 282-8787
(336) 510-7284
Mailing address
3931 TINSLEY DR, SUITE 104, HIGH POINT, NC 27265-1532
(336) 282-8787
(336) 510-7284
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
NC233
NC
213ER0200X
Radiology Podiatrist
233
NC
213ES0131X
Foot Surgery Podiatrist
233
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890808W
—
NC
Enumeration date
11/06/2006
Last updated
01/05/2009
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