Organization
JEFFREY B PUPP
Active
Other names
Wallace Foot Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY B PUPP (OWNER)
(910) 285-3362
Entity
Organization
Contact information
Practice address
114 N NORWOOD ST, WALLACE, NC 28466-2730
(910) 285-3362
(910) 285-6683
Mailing address
114 N NORWOOD ST, WALLACE, NC 28466-2730
(910) 285-3362
(910) 285-6683
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
449
NC
213ES0131X
Foot Surgery Podiatrist
230
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152P
BCBS NC
NC
01
—
2432650A
MEDICARE PTAN
NC
05
—
890152P
—
NC
01
—
B1114
MEDCOST
NC
01
—
CJ7762
RAILROAD MEDICARE PTAN
NC
Enumeration date
05/06/2008
Last updated
05/06/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us