Organization
FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIYA BOYCE (REGIONAL CREDENTIALING SPECIALIST)
(301) 933-7133
Entity
Organization
Contact information
Practice address
130 LAKE CONCORD RD NE STE B, CONCORD, NC 28025-1906
(704) 786-4482
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(301) 933-7133
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/23/2025
Last updated
02/05/2026
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