Organization
PIEDMONT FOOT CLINIC, PA
Active
Organization
PIEDMONT FOOT CLINIC, PA
Active
Other names
PIEDMONT FOOT & ANKLE CLINIC, PA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JAMES MALICH (OFFICE MANAGER)
(919) 481-3338
Entity
Organization
Contact information
Practice address
103 PARKWAY OFFICE COURT, SUITE 100, CARY, NC 27518-7429
(919) 481-3338
(919) 467-2436
Mailing address
103 PARKWAY OFFICE COURT, SUITE 100, CARY, NC 27518-7429
(919) 481-3338
(919) 467-2436
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0803A
BCBS OF NC GROUP #
NC
05
—
890803A
—
NC
Enumeration date
05/01/2006
Last updated
09/28/2011
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