Individual
MARK THOMAS EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1738 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 484-4191
(910) 484-5546
Mailing address
1738 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 484-4191
(910) 484-5546
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
423
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
423
NC
213ES0131X
Foot Surgery Podiatrist
423
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126JK
BCBS
NC
05
—
89126JK
—
NC
Enumeration date
05/13/2006
Last updated
02/04/2026
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