Individual
ERIC VAUGHN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2950 SENNA DR, MATTHEWS, NC 28105-6722
(704) 845-2920
(704) 845-2921
Mailing address
2950 SENNA DR, MATTHEWS, NC 28105-6722
(704) 845-2920
(704) 845-2921
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
259
NC
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
259
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
259
NC
213ES0131X
Foot Surgery Podiatrist
259
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012J7
BCBS
NC
01
—
6712460028
MEDICARE PTAN
NC
05
—
890915G
—
NC
05
—
NPD259
—
SC
Enumeration date
08/10/2006
Last updated
08/10/2022
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