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Organization

FAMILY FOOT & ANKLE CENTER, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLAS C SMITH DPM (PRESIDENT)
(919) 872-2022
Entity
Organization

Contact information

Practice address
451 RUIN CREEK RD STE 202, HENDERSON, NC 27536-5920
(252) 438-4426
Mailing address
451 RUIN CREEK RD STE 202, HENDERSON, NC 27536-5920
(252) 438-4426

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0146U
BLUE CROSS BLUE SHIELD
NC
Enumeration date
01/11/2008
Last updated
04/29/2008
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