Organization
INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CHARLES MCDONALD (PRESIDENT)
(704) 786-4482
Entity
Organization
Contact information
Practice address
4113 OLEANDER DR, SUITE G, WILMINGTON, NC 28403-6839
(910) 791-1300
Mailing address
1022 LEE ANN DR NE, CONCORD, NC 28025-2911
(704) 886-1918
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
606
NC
213ES0131X
Foot Surgery Podiatrist
606
NC
Other
Enumeration date
03/27/2017
Last updated
06/03/2022
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