Organization
FOOT FAULTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY L HALL DPM (OWNER)
(919) 734-8007
Entity
Organization
Contact information
Practice address
110 S PINEVIEW AVE, GOLDSBORO, NC 27530-5138
(919) 734-8007
Mailing address
PO BOX 7756, ROCKY MOUNT, NC 27804-0756
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
221
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950076
—
NC
Enumeration date
05/07/2008
Last updated
02/02/2009
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